tailieunhanh - Best Care at Lower Cost

Health care in America presents a fundamental paradox. The past 50 years have seen an explosion in biomedical knowledge, dramatic innovation in therapies and surgical procedures, and management of conditions that previously were fatal, with ever more exciting clinical capabilities on the horizon. Yet, American health care is falling short on basic dimensions of quality, outcomes, costs, and equity. | Best Care at Lower Cost The Path to Continuously Learnina Health Care in America THE NATIONAL ACADEMIES PRESS Best Care at Lower Cost The Path to Continuously Learning Health Care in America Committee on the Learning Health Care System in America Mark Smith Robert Saunders Leigh Stuckhardt J. Michael McGinnis Editors INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES THE NATIONAL ACADEMIES PRESS Washington . THE NATIONAL ACADEMIES PRESS 500 Fifth Street NW Washington DC 20001 NOTICE The project that is the subject of this report was approved by the Governing Board of the National Research Council whose members are drawn from the councils of the National Academy of Sciences the National Academy of Engineering and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. Support for this report was provided by the Blue Shield of California Foundation the Charina Endowment Fund and the Robert Wood Johnson Foundation. Any opinions findings conclusions or recommendations expressed in this publication are those of the author s and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 978-0-309-26073-2 Additional copies of this report are available from the National Academies Press 500 Fifth Street NW Keck 360 Washington DC 20001 800 624-6242 or 202 334-3313 http . For more information about the Institute of Medicine visit the IOM home page at . Copyright 2012 by the National Academy of Sciences. All rights reserved. Printed in the United States of America The serpent has been a symbol of long life healing and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece now held by the Staatliche Museen in Berlin.