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inverse care, impoverishing care, fragmented and fragmenting care, unsafe care, and misdirected care ( World Health Organization, 2008b ). International health experts have not reached consensus on the optimal parameters for measuring and tracking the performance of national health systems.

 

For example, U.S. hospitalizations for asthma are among the highest of peer countries, but asthma is influenced by factors outside of health care (e.g., air pollution, housing quality) ( Etzel, 2003 ; Lanphear et al., 2001 ; Sly and Flack, 2008 ). Testing of patients

 

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