Association Between Newsweek’s Global Hospital Ranking and Patient Outcomes in the USA

  • Atsushi Miyawaki
  • Yusuke TsugawaEmail author
Concise Research Report


Although several hospital rankings have been available in the USA,1, 2 there has not been a “global” hospital ranking that assesses hospitals around the world. Recently, Newsweek partnered with a global market research company Statista and ranked the top 1000 hospitals worldwide, including both the USA and foreign hospitals. The ranking was based on three factors: recommendations from peers (55%), patient experience (15%), and quality indicators (e.g., hygiene and patient safety measures, number of patients per doctor/nurse) (30%).3 While informative, this ranking did not account for direct measures of patient outcomes, and it relied heavily on recommendations from peers, despite limited evidence supporting the accuracy of peer evaluations about the quality of hospitals.4 To address this issue, we investigated whether the Newsweek’s global hospital ranking of US hospitals was associated with risk-adjusted patient outcomes.


We linked three datasets: (1) the Newsweek’s...


Compliance with Ethical Standards

The study was approved by the UCLA Institutional Review Board.

Conflict of Interest

The authors declare that they do not have a conflict of interest.


  1. 1.
    Best hospitals rankings and reviews, US News Best Hospitals. Accessed June 28, 2019.
  2. 2.
    Hospital ratings and reports, Leapfrog. Accessed June 28, 2019.
  3. 3.
    World’s best hospitals. Newsweek. 2019. Accessed June 28, 2019.
  4. 4.
    Sehgal AR. The role of reputation in U.S. News & World Report’s rankings of the top 50 American hospitals. Ann Intern Med. 2010;152(8):521–525. Scholar
  5. 5.
    Hospital Compare datasets. Accessed June 28, 2019.

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  1. 1.Department of Public Health, Graduate School of MedicineUniversity of TokyoTokyoJapan
  2. 2.Division of General Internal Medicine and Health Services Research UCLA David Geffen School of MedicineLos AngelesUSA
  3. 3.Department of Health Policy and ManagementUCLA Fielding School of Public HealthLos AngelesUSA
  4. 4.UCLA Center for Health Policy ResearchLos AngelesUSA

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