{"id":"https://openalex.org/W70612422","doi":"https://doi.org/10.1016/s1553-7250(08)34041-0","title":"Variation in Quality of Care Within Health Systems","display_name":"Variation in Quality of Care Within Health Systems","publication_year":2008,"publication_date":"2008-06-01","ids":{"openalex":"https://openalex.org/W70612422","doi":"https://doi.org/10.1016/s1553-7250(08)34041-0","mag":"70612422","pmid":"https://pubmed.ncbi.nlm.nih.gov/18595378"},"language":"en","primary_location":{"id":"doi:10.1016/s1553-7250(08)34041-0","doi":"https://doi.org/10.1016/s1553-7250(08)34041-0","is_oa":false,"landing_page_url":"https://doi.org/10.1016/s1553-7250(08)34041-0","pdf_url":null,"source":{"id":"https://openalex.org/S4210168284","display_name":"The Joint Commission Journal on Quality and Patient Safety","issn_l":"1553-7250","issn":["1553-7250","1938-131X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Joint Commission Journal on Quality and Patient Safety","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038629403","display_name":"Steve Hines","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157898","display_name":"Lewin Group (United States)","ror":"https://ror.org/04rvc0m17","country_code":"US","type":"company","lineage":["https://openalex.org/I4210157898"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steve Hines","raw_affiliation_strings":["The Lewin Group, Falls Church, Virginia, USA","The Lewin Group, Falls Church, Virginia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Lewin Group, Falls Church, Virginia, USA","institution_ids":["https://openalex.org/I4210157898"]},{"raw_affiliation_string":"The Lewin Group, Falls Church, Virginia","institution_ids":["https://openalex.org/I4210157898"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101000215","display_name":"Maulik S Joshi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Maulik S. Joshi","raw_affiliation_strings":["He is also a member of the Board Quality and Safety Committee of Catholic Healthcare Partners, whose performance and ranking are provided in the article","President and Chief Executive Officer, Network for Regional Healthcare Improvement, Easton, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"He is also a member of the Board Quality and Safety Committee of Catholic Healthcare Partners, whose performance and ranking are provided in the article","institution_ids":[]},{"raw_affiliation_string":"President and Chief Executive Officer, Network for Regional Healthcare Improvement, Easton, Maryland","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5101000215"],"corresponding_institution_ids":[],"apc_list":{"value":3510,"currency":"USD","value_usd":3510},"apc_paid":null,"fwci":5.854,"has_fulltext":false,"cited_by_count":29,"citation_normalized_percentile":{"value":0.9500689,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"34","issue":"6","first_page":"326","last_page":"332"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.005100000184029341,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.004800000227987766,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.7179999947547913},{"id":"https://openalex.org/keywords/hospital-systems","display_name":"hospital systems","score":0.8029999732971191},{"id":"https://openalex.org/keywords/hospital-ownership","display_name":"hospital ownership","score":0.4449999928474426},{"id":"https://openalex.org/keywords/for-profit-hospitals","display_name":"for-profit hospitals","score":0.7350000143051147},{"id":"https://openalex.org/keywords/surgical-infection-prevention","display_name":"surgical infection prevention","score":0.6209999918937683},{"id":"https://openalex.org/keywords/pneumonia","display_name":"pneumonia","score":0.5759999752044678},{"id":"https://openalex.org/keywords/acute-myocardial-infarction","display_name":"acute myocardial infarction","score":0.9980000257492065},{"id":"https://openalex.org/keywords/congestive-heart-failure","display_name":"congestive heart failure","score":0.9990000128746033},{"id":"https://openalex.org/keywords/teaching-hospitals","display_name":"teaching hospitals","score":0.7590000033378601},{"id":"https://openalex.org/keywords/system-size","display_name":"system size","score":0.6380000114440918}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.7051635980606079},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6917835474014282},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.6488288640975952},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5537975430488586},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.48597252368927},{"id":"https://openalex.org/C2780131953","wikidata":"https://www.wikidata.org/wiki/Q17003063","display_name":"Health care quality","level":3,"score":0.4701932370662689},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4430544078350067},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3798556625843048},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.13636332750320435},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.1328064203262329},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006777","descriptor_name":"Hospitals, Proprietary","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006777","descriptor_name":"Hospitals, Proprietary","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006788","descriptor_name":"Hospitals, Voluntary","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006788","descriptor_name":"Hospitals, Voluntary","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019984","descriptor_name":"Quality Indicators, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/s1553-7250(08)34041-0","doi":"https://doi.org/10.1016/s1553-7250(08)34041-0","is_oa":false,"landing_page_url":"https://doi.org/10.1016/s1553-7250(08)34041-0","pdf_url":null,"source":{"id":"https://openalex.org/S4210168284","display_name":"The Joint Commission Journal on Quality and Patient Safety","issn_l":"1553-7250","issn":["1553-7250","1938-131X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Joint Commission Journal on Quality and Patient Safety","raw_type":"journal-article"},{"id":"pmid:18595378","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18595378","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Joint Commission journal on quality and patient safety","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9789000153541565,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W1967603026","https://openalex.org/W2001550487","https://openalex.org/W2018290977","https://openalex.org/W2039210573","https://openalex.org/W2043981256","https://openalex.org/W2049613855","https://openalex.org/W2075559509","https://openalex.org/W2134502088","https://openalex.org/W2159352053"],"related_works":["https://openalex.org/W793745288","https://openalex.org/W7113621873","https://openalex.org/W235370303","https://openalex.org/W2099587895","https://openalex.org/W7162989716","https://openalex.org/W2157257373","https://openalex.org/W2938737251","https://openalex.org/W2049613855","https://openalex.org/W2970638514","https://openalex.org/W4317869270"],"abstract_inverted_index":null,"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2020,"cited_by_count":4},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}