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Reasonable people can disagree about giving credit to hospitals for particular kinds of technology. After a lengthy investigation that included discussions with practitioners with a range of opinions at various hospitals, we included robotic surgery in five specialties. It is singled out by Emanuel as an example of an expensive technology that raises a hospital's score in urology but hasn't been proven in reliable, randomized clinical trials. We see part of our obligation, however, given our target audience of high-acuity patients, as trying to identify technologies and other care that make a strong case for benefiting such individuals. Such features are more likely to be found at centers that see more of such patients.
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