Researchers and policymakers have publicly discussed and
debated whether or not to adjust provider quality
measures for differences in patient characteristics.
Lacking in this discussion, however, is a nuanced
understanding of how adjustment should be conducted
within a rural context and what impact it might have on
patients and providers when quality measures are used for
benchmarking and payment.
The purpose of this project was to identify how rurality
and key sociodemographic variables might affect
quality-of-care outcomes and to estimate the potential
impact on quality measurement.