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JNCI Journal of the National Cancer Institute 1999 91(22):1906-1907; doi:10.1093/jnci/91.22.1906
© 1999 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 91, No. 22, 1906-1907, November 17, 1999
© 1999 Oxford University Press

EDITORIALS

Radical Prostatectomy: Does Higher Volume Lead to Better Quality?

Arnold L. Potosky, Joan L. Warren

Affiliation of authors: Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD.

Correspondence to: Arnold L. Potosky, Ph.D., National Institutes of Health, Executive Plaza North, Rm. 313, 6130 Executive Blvd. MSC 7344, Bethesda, MD 20892-7344 (e-mail: potosky@nih.gov).

Over the past decade, the U.S. health care system has witnessed rapid and dramatic changes in the financing and organization of health services. These shifts have been accompanied by extensive public policy discussions over whether cost containment can be achieved while preserving the quality of health care. Health care providers and researchers have recognized that there is insufficient knowledge about "quality" care that can be used to guide decisions that providers and patients must make in everyday clinical practices.

Measuring outcomes is widely considered an essential component of quality assessments because good outcomes usually reflect high quality in the process of care. Much of the health services literature is devoted to investigations of how the process and structure of . . . [Full Text of this Article]

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