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Mike Mitka

JAMA. 2007;298:276.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A new report shows wide disparities in how states perform on indicators of health system performance (http://www.commonwealthfund.org/usr_doc/StateScorecard.pdf?section=4039).

Many factors likely contribute to health disparities, some within the health care delivery system, some (such as educational status and health behaviors) outside the system (Lurie N and Dubowitz T. JAMA. 2007;297[10]:1118-1120). The report, released on June 13 by the Commonwealth Fund, a private foundation that supports independent research on health care issues, features a scorecard ranking states on 32 indicators of health care access, quality, potentially avoidable use of hospitals and costs of care, equity, and the ability to live long and healthy lives.

Hawaii, Iowa, New Hampshire, and Vermont scored highest overall, while Oklahoma, Mississippi, Texas, and Arkansas finished at the bottom. The authors estimated that if all states could do as well as the top-performing states, there would be 90 000 fewer deaths before age 75 . . . [Full Text of this Article]

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