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Closing the Quality Chasm in Health Care
The Role of Critical Reading
Arch Pediatr Adolesc Med. 2005;159:394-395.
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Few would argue that the well-discussed chasm between the quality of health care, as it is currently offered, and the level of quality expected by patients, insurers, and our profession itself is not real. The Institute of Medicine (Washington, DC) has clearly articulated the components of high-quality care.1 In addition to being patient centered, timely, and equitable, care must be efficient, effective, and safe. These latter 3 components depend on physicians applying the fruits of the biomedical research enterprise to the individual doctor-patient encounter.
The biomedical research enterprise of the United States is a true success story. Funded by both the federal government and private industry, our biomedical research program has been the world leader in the discovery of disease mechanisms and the development of new methods to treat and prevent illness. As members of the medical community, we are ultimately responsible to the public for the return on their . . . [Full Text of this Article] AUTHOR INFORMATION
Frederick P. Rivara, MD, MPH;
F. Bruder Stapleton, MD
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