1628 lines
68 KiB
HTML
1628 lines
68 KiB
HTML
<!DOCTYPE html>
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<html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# ">
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<head>
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<meta http-equiv="X-UA-Compatible" content="IE=edge" />
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<meta charset="utf-8" />
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<meta property="og:title" content="Help People Use Health Care Quality Information To Make Decisions" />
|
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<meta name="description" content="Some members of your audience will have a good idea of how to go about using quality information to make a decision about a health provider or plan, but others will not. You can help the latter group:" />
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<link rel="canonical" href="https://www.ahrq.gov/talkingquality/explain/support/help.html" />
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<meta name="Generator" content="Drupal 10 (https://www.drupal.org)" />
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<meta name="MobileOptimized" content="width" />
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<meta name="HandheldFriendly" content="true" />
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<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no" />
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<meta http-equiv="x-ua-compatible" content="ie=edge" />
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<link rel="icon" href="/themes/custom/ahrq_bootstrap_barrio/favicon-swoosh.ico" type="image/vnd.microsoft.icon" />
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<link rel="alternate" hreflang="en" href="https://www.ahrq.gov/talkingquality/explain/support/help.html" />
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a2a_config.templates.twitter = {
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text: "Reading: ${title} ${link}",
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related: "AHRQ"
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};</script>
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<title>Help People Use Health Care Quality Information To Make Decisions | Agency for Healthcare Research and Quality</title>
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<link rel="stylesheet" media="all" href="/sites/default/files/css/css_yZ3AELKs4Kkb-aqUv19nC64tFjBrpuvgz19tP3W573U.css?delta=0&language=en&theme=ahrq_bootstrap_barrio&include=eJx1Tm0OwiAMvRCuRyLt6CYRKLZM3e2N20Jipn9e3mdTDKEJlhXwIMOkUprDq97hA76SFp-xuq5gsybR7Gy1xhkIjR2JNGuK1ROqRoE5CWG6WFtTLPO-P5W68Sf_dYRTpSTjzeBb7mngV4TOzm-RMoZRl0zuEflpsOGQJSyJ32zqa94" />
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<!-- Global site tag (gtag.js) - Google Analytics -->
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<script async src="https://www.googletagmanager.com/gtag/js?id=GTM-W4NX5V"></script>
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<script>
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window.dataLayer = window.dataLayer || [];
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function gtag(){window.dataLayer.push(arguments);}
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gtag('js', new Date());
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gtag('config', 'GTM-W4NX5V');
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</script>
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<!-- End Global site tag (gtag.js) - Google Analytics -->
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<script src="https://dap.digitalgov.gov/Universal-Federated-Analytics-Min.js?agency=HHS&subagency=AHRQ" type="text/javascript" id="_fed_an_ua_tag"></script>
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</head>
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<body class="layout-one-sidebar layout-sidebar-first page-node-227707 path-node node--type-page">
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<!-- Google Tag Manager (noscript) -->
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<noscript>
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<iframe src="https://www.googletagmanager.com/ns.html?id=GTM-W4NX5V" height="0" width="0" style="display:none;visibility:hidden"></iframe>
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</noscript>
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<!-- End Google Tag Manager (noscript) -->
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<a href="#main-content" class="visually-hidden focusable skip-link">
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Skip to main content
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</a>
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<div class="dialog-off-canvas-main-canvas" data-off-canvas-main-canvas>
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<div id="page-mask"></div>
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<div class="usa-banner usa-banner-bg">
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<div class="usa-accordion usa-accordion-text-color">
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<header class="usa-banner__header">
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<div class="row no-gutters row-mobile-offset">
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<div class="col-lg-auto offset-lg-1 img-icon">
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<img class="usa-banner__header-flag" src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/us_flag_small.png" alt="U.S. flag">
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</div>
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<div class="col-lg-auto banner-hhs img-icon">
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<img class="usa-banner__header-flag" src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/logo-HHSmini.png" alt="HHS">
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</div>
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<div class="col-lg-8 txt-gov-banner">
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<p class="usa-banner__header-text"><a href="https://www.hhs.gov">An official website of the Department of Health and Human Services</a></p>
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</div>
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</div>
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</header>
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</div>
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</div>
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<div role="main" class="container-fluid js-quickedit-main-content">
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<div class="row">
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<header id="header" class="header row-side-margins mobile-row-side-margins" >
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<div class="col-md-12">
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<div id="utility-nav">
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<ul class="clearfix">
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<li class="first">
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<a href="/cpi/about/careers/index.html">Careers</a>
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</li>
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<li>
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<a href="/contact/index.html">Contact Us</a>
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</li>
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<li>
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<a href="/es/informacion-en-espanol/index.html">Español</a>
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</li>
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<li class="last">
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<a href="https://info.ahrq.gov/">FAQs</a>
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</li>
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</ul>
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</div>
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<div class="row clear-row">
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<div class="col-md-12 row-bottom-margin mm-nav-bottom-border-mobile">
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<div class="logo-ahrq">
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<a href="/"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/logo-ahrq.png" alt="AHRQ: Agency for Healthcare Research and Quality "/></a>
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</div>
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<div class="search">
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<div class="search-label search-label-pad">Search all AHRQ sites</div>
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<form name="searchForm-banner_searchform" id="banner_searchform" method="get" action="https://search.ahrq.gov/search" class="usa-search usa-search--small">
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<div role="search" id="header-search" class="search-label">
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<label class="usa-sr-only" for="extended-search-field-small">Search small</label>
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<input class="usa-input" id="extended-search-field-small" type="search" name="q" value="" size="11" onfocus="this.value = '';" autocomplete="off">
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<button class="usa-button" type="submit"><span class="usa-sr-only">Search</span></button>
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</div>
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</form>
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</div>
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<div id="mm-mob">
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<div class="mm-mob-icon-bgc">
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<img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/bars-solid.png" alt="Main Navigation Menu"
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width="25px" height="25px" class="logo-white"
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data-toggle="collapse" data-target="#megamenu-container">
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<p>Menu</p>
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</div>
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</div>
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||
|
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</div>
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</div>
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</div>
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</header>
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<div class="col-12 collapse width" id="megamenu-container">
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<div class="row mm-nav-bottom-border">
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<div id="megamenu-nav" class="col-sm-12 col-md-12 col-lg-12 col-xl-12 primary-menu-bg">
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<div class="row row-side-margins">
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<div class="col-md-12" role="navigation">
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<div class="row nav-close">
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<button class="btn-close" data-toggle="collapse" data-target="#megamenu-container" aria-label="Close Button"></button>
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</div>
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<nav role="navigation" aria-label="main_nav" id="block-system-menu-block-main" class="block block-menu navigation menu--main">
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||
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<h2 class="sr-only" id="block-system-menu-block-main-menu">Main navigation</h2>
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||
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<ul id="main_nav" id="block-system-menu-block-main" block="block-system-menu-block-main" class="clearfix nav navbar-nav d-flex flex-nowrap">
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<li class="nav-item menu-item--collapsed" rel="1">
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<a href="/topics/index.html" class="nav-link" data-drupal-link-system-path="topics/index.html">Topics</a>
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</li>
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<li class="nav-item" rel="2">
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<a href="/programs/index.html" class="nav-link" data-drupal-link-system-path="programs/index.html">Programs</a>
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</li>
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<li class="nav-item menu-item--collapsed" rel="3">
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<a href="/research/index.html" title="" class="nav-link" data-drupal-link-system-path="node/183838">Research</a>
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</li>
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<li class="nav-item menu-item--collapsed" rel="4">
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<a href="/data/index.html" title="" class="nav-link" data-drupal-link-system-path="node/226309">Data & Analytics</a>
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</li>
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<li class="nav-item" rel="5">
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<a href="/tools/index.html" title="" class="nav-link" data-drupal-link-system-path="tools/index.html">Tools</a>
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</li>
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<li class="nav-item menu-item--collapsed" rel="6">
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<a href="/funding/index.html" class="nav-link" data-drupal-link-system-path="node/183923">Funding & Grants</a>
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<li class="nav-item menu-item--collapsed" rel="7">
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<a href="/news/index.html" class="nav-link" data-drupal-link-system-path="node/183915">News</a>
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</li>
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<li class="nav-item menu-item--collapsed" rel="8">
|
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<a href="/cpi/index.html" class="nav-link" data-drupal-link-system-path="node/183934">About</a>
|
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|
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|
||
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||
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||
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||
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||
</nav>
|
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||
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||
</div>
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</div>
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</div>
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<div class="col-sm-12 col-md-12 col-lg-12 col-xl-12">
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<div class="subnav-2-cols">
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<div class="col-md-12" role="navigation">
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<div class="hide-on-desktop block block-block-content block-block-contenta35615a7-c539-4185-9016-92b9536228e0" id="block-block-content-a35615a7-c539-4185-9016-92b9536228e0">
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||
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/topics/index.html">Browse Topics</a></h2>
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<div class="views-element-container hide-on-mobile block block-views block-views-blocktopics-a-z-block-1" id="block-views-block-topics-a-z-block-1">
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<a href="/topics/F.html">F</a>
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<a href="/topics/H.html">H</a>
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<div class="myClass">
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<a href="/topics/I.html">I</a>
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<a href="/topics/J.html">J</a>
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<div class="myClass">
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<a href="/topics/L.html">L</a>
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<div class="myClass">
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<a href="/topics/P.html">P</a>
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<div class="myClass">
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<div class="myClass">
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<a href="/topics/R.html">R</a>
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<div class="view-content row">
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<div class="myClass">
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<a href="/topics/S.html">S</a>
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<div class="myClass">
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<div class="myClass">
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<a href="/topics/W.html">W</a>
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<div class="myClass">
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<a href="/topics/X.html">X</a>
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<div class="view-content row">
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<div class="myClass">
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<a href="/topics/Y.html">Y</a>
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<div class="myClass">
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<a href="/topics/Z.html">Z</a>
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</div>
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</div>
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</div>
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</section>
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</div>
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</div>
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<div class="subnav-2-cols">
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<div class="col-md-12" role="navigation">
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<section class="row region region-megamenu-pulldown1-col2">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="//www.ahrq.gov/research/findings/nhqrdr/index.html">National Healthcare Quality and Disparities Report</a></h2>
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<ul>
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||
</ul>
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<p>Latest available findings on quality of and access to health care</p></div>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/fund-opps/index.html">Notice of Funding Opportunities</a></h2>
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<ul>
|
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<li><a href="/funding/policies/nofoguidance/index.html">Notice of Funding Opportunity Guidance</a></li>
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|
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<li><a href="/funding/policies/hhspolicy/index.html">HHS Grants Policy Statement</a></li>
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<div class="content">
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<ul>
|
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<li><a href="/funding/priorities-contacts/special-emphasis-notices/index.html">Special Emphasis Notices</a></li>
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<li><a href="/funding/priorities-contacts/contacts/index.html">Staff Contacts</a></li>
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<div class="content">
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<ul></ul></div>
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</section>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/process/index.html">Grant Application, Review & Award Process</a></h2>
|
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<ul>
|
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<li><a href="/funding/process/grant-app-basics/index.html">Grant Application Basics</a></li>
|
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|
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<li><a href="/funding/process/dates/index.html">Application Deadlines & Important Dates</a></li>
|
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<li><a href="/funding/process/grant-app-basics/apptips.html">AHRQ Tips for Grant Applicants</a></li>
|
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<li><a href="/funding/process/mechanisms/index.html">Grant Mechanisms & Descriptions</a></li>
|
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<li><a href="/funding/process/review/index.html">Application Receipt & Review</a></li>
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<li><a href="/funding/process/award-process/index.html">Award Process</a></li>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/grant-mgmt/index.html">Post-Award Grant Management</a></h2>
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<ul>
|
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<li><a href="/funding/grantee-profiles/index.html">AHRQ Grantee Profiles</a></li>
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<li><a href="/funding/grant-mgmt/recognition_ahrq-funded_study.html">Getting Recognition for Your AHRQ-Funded Study</a></li>
|
||
<li><a href="/funding/grant-mgmt/grants-by-state.html">Grants by State</a></li>
|
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<li><a href="/funding/grant-mgmt/nces.html">No-Cost Extensions (NCEs)</a></li>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/contracts/index.html">Contracts</a></h2>
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<ul></ul></div>
|
||
|
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</div>
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</section>
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</div>
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<div class="subnav-3-cols">
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<div class="content">
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|
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/grant-mgmt/grants-by-state.html">AHRQ Grants by State</a></h2>
|
||
|
||
<ul>
|
||
</ul>
|
||
|
||
<p>Searchable database of AHRQ Grants</p></div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="mm-feature-block hide-on-mobile block block-block-content block-block-contentc6610af5-d53e-4c4c-8541-cbf02cc0fa2a" id="block-block-content-c6610af5-d53e-4c4c-8541-cbf02cc0fa2a">
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|
||
|
||
<ul>
|
||
</ul>
|
||
|
||
<p>AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund.</p></div>
|
||
|
||
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|
||
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|
||
|
||
</section>
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<h1 class="node__title">
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<span property="schema:name" class="field field--name-title field--type-string field--label-hidden">Help People Use Health Care Quality Information To Make Decisions</span>
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</h1>
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<div property="schema:text" class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Some members of your audience will have a good idea of how to go about using quality information to make a decision about a health provider or plan, but others will not. You can help the latter group:</p>
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<ul>
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<li>Clarify to what extent they have a choice and what their options are.</li>
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<li>Identify the factors they need to consider in making a choice.</li>
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<li>Identify preferences and the need for trade-offs.</li>
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<li>Reduce the burden of decisionmaking.</li>
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</ul>
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<h2>Clarify the Extent and Nature of Choices</h2>
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<p>Some people truly are limited in their choice of health plans. Many are also limited in their choice of hospitals, physicians, and other providers by their health plan’s network.</p>
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<p>However, many others perceive that they have no choice even though they do, or they don’t think they are capable of making a choice. For instance, they may believe that their insurance plan covers a much more limited set of providers than it in fact does. Or they may believe that their doctor is supposed to select the hospital to which they will be admitted or the specialist they should see, and that they have little or no say in the matter.</p>
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<p>To avoid seeming out of touch with consumers, your report should acknowledge that some people have limited choices. You can then explain how to use the information in the report for purposes other than choice. At the same time, you can do some “myth-busting” to ensure that people who have real choices are aware of them—for example, by explaining that people can ask their doctors about other hospitals they might prefer.</p>
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<h2>Identify Factors To Consider</h2>
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<h3>Quality</h3>
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<p>Because many report users will not have a clear and comprehensive definition of health care quality, you can help them recognize the value of the information in the report by defining quality and providing a clear, understandable framework for understanding different aspects of quality. (Learn how you can <a href="/talkingquality/explain/communicate/framework.html">Provide a Framework for Understanding Quality</a>.)</p>
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<p>This framework is also critical to helping people make a decision, so look for ways to reiterate the framework in the section of your report devoted to supporting consumers in using the information. For example, you might briefly recapitulate the key concepts in the framework and use them to organize this part of the discussion.</p>
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<h3>Other Factors</h3>
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<p>Even though a wide range of quality measures is available today, it is important to acknowledge that consumers’ decisions about health plans and providers need to take factors beyond quality into consideration as well. If you do not do this, your audience may think you are out of touch with their reality. This is one reason to offer information on other factors, such as location, hours, languages spoken, and cost.</p>
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<ul>
|
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<li><b>If you include this kind of information in your report,</b> let readers know where to find it. If the information is on your Web site, include a link to it.</li>
|
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<li><b>If you do not include this information,</b> let readers know where and how they can find it elsewhere.</li>
|
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</ul>
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<h3>Provider Characteristics</h3>
|
||
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||
<p>While it may not be feasible for you to collect and report information on all provider characteristics that may be relevant to patients, you can provide a checklist that patients can use to gather information themselves from prospective physicians or other individual providers. These checklists typically suggest questions that people can ask, or specific things they should be looking for when they visit the provider.</p>
|
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||
<p>For example, the Agency for Healthcare Research and Quality has developed a resource for consumers called <i>Your Guide to Choosing Quality Health Care</i>. This guide includes checklists for consumers who need to make different kinds of health care choices. It is available at: <a class="external-link" href="http://archive.ahrq.gov/consumer/qnt/" rel="nofollow">http://archive.ahrq.gov/consumer/qnt/</a>.</p>
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<h2>Identify Preferences and the Need for Trade-offs</h2>
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<p>Report sponsors need to emphasize that the “right choice” depends on the values, preferences, and perceived needs of each individual or family. One simple way to do this is to provide examples of the different values and preferences that different people bring to typical choices.</p>
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<p>You can address this point in a discussion of factors to consider. For example, you can point out that:</p>
|
||
|
||
<ul>
|
||
<li>For some people, whether a provider speaks their primary language is extremely critical, while for others it is not that important.</li>
|
||
<li>For working people, whether a provider has office hours outside of typical working hours and days may be very important, since they may not be able to leave work except in a dire emergency. For retired people, on the other hand, a midday visit may be feasible and even preferable.</li>
|
||
<li>For some people, avoiding surgical complications such as infections may be extremely critical, whereas for others, having providers who communicate clearly and respectfully is the highest priority.</li>
|
||
</ul>
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<p>Everyone wants everything they want—but that doesn’t mean it is easy or even possible to get it all. Emphasize to your users that, when making decisions, they will have to identify not just all the factors important to them, but the factors that are <i>most</i> important—what one might call the “deal breakers.” Help them understand that, since they probably cannot get everything they want, they should make sure they get whatever is most important to them.</p>
|
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<h2>Reduce the Burden of Decisionmaking</h2>
|
||
|
||
<p>Too much information can be a burden. Cognitive science tells us that people can keep only seven (plus or minus two) thoughts in their short-term memory at once.<sup><a href="#_ftn1">[1]</a></sup> It is even more difficult to bring together a number of factors, and decide how much weight each should get, in order to arrive at a choice.</p>
|
||
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||
<p>Faced with more options or measures than they can handle, people will often narrow their choices on their own. But they will not necessarily do this in a way that focuses their attention on the most important measures or the most promising options. To keep things simple, they may ignore some attributes or aspects of care that really do matter to them.</p>
|
||
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||
<h3>Strategies for Reducing the Decisionmaking Burden</h3>
|
||
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||
<p>One important way to maximize use of quality data is to help people reduce this cognitive burden. This may involve helping people narrow their choices by:</p>
|
||
|
||
<ul>
|
||
<li>Reducing the number of plans or providers they compare.</li>
|
||
<li>Reducing the number of measures on which they compare them.</li>
|
||
</ul>
|
||
|
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<p>Another way to help people make better decisions is to help them to integrate information about more aspects of care than they can easily think about on their own. Summary scores and visual displays that help people see the “big picture” across many measures can be helpful in this regard.</p>
|
||
|
||
<ul>
|
||
<li>Learn about using summary scores in <a href="/talkingquality/translate/scores/combine-measures.html">Combining Measures Into Composites or Summary Scores</a>.</li>
|
||
<li>Learn about using word icon charts that help people get the big picture quickly in <a href="/talkingquality/translate/display/graphics/symbols.html">Providing Self-Explanatory Symbols</a>.</li>
|
||
</ul>
|
||
|
||
<p>Encouraging people to think about possible trade-offs between conflicting attributes can also be helpful.</p>
|
||
|
||
<p>Both strategies—helping people narrow their choices and helping them integrate complex information about multiple aspects of care—are facilitated by the functionality of the Web, but are considerably trickier in print reports.</p>
|
||
|
||
<p>If you do not take advantage of any of these data display options, you have all the more responsibility for providing report users with other ways to make decision making easier for individuals.</p>
|
||
|
||
<p><a id="_ftn1"><sup>[1]</sup></a> Miller GA. The magical number seven, plus or minus two: some limits on our capacity for processing information. Psychol Rev 1956 Mar;63(2):81-97. Available at: <a href="http://www.musanim.com/miller1956/">http://www.musanim.com/miller1956/</a>.</p>
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<div id="page-reviewed" class="body-copy-italic">Page last reviewed November 2018 </div>
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<div id="page-created" class="body-copy-italic">Page originally created February 2015</div>
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<span class="citation-hdr">Internet Citation:</span> Help People Use Health Care Quality Information To Make Decisions. Content last reviewed November 2018. Agency for Healthcare Research and Quality, Rockville, MD.<br>
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