Quality of care for coronary heart disease in two countries

Health Aff (Millwood). May-Jun 2001;20(3):55-67. doi: 10.1377/hlthaff.20.3.55.


Coronary heart disease is the leading cause of death in the United States and England, and each country devotes substantial resources to its prevention and treatment. We review recent strategies for improving quality of care for coronary heart disease in each country, including clinical guidelines; national standards; performance reports; benchmarking, feedback, and professional leadership; and market-oriented approaches. These strategies highlight the importance of information systems, organizational culture, and incentives to improve the quality of care in both the decentralized health care system of the United States and England's more centralized system.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Benchmarking
  • Coronary Disease / epidemiology
  • Coronary Disease / therapy*
  • Cost of Illness
  • England / epidemiology
  • Humans
  • Information Services
  • Leadership
  • Outcome Assessment, Health Care
  • Practice Guidelines as Topic
  • Program Evaluation*
  • Quality Assurance, Health Care / standards*
  • United States / epidemiology