tailieunhanh - CROSSING THE QUALITY CHASM: A NEW HEALTH SYSTEM FOR THE 21ST CENTURY

Plant parts are probably the most difficult to identify as they consist of pieces of dried roots, barks, leaves, berries etc. at varying stages of processing, and can look fairly similar to one another. It is not worthwhile for enforcers to learn to identify such raw materials unless they are going to deal with such shipments or domestic trade on a regular basis. It is best to use experts when packaging for raw materials is not labeled. Agarwood is one high-value commodity that is more obviously identifiable, as it is usually traded as blocks of wood with fairly distinctive characteristics, but sometimes as. | March 2001 I N S T I T U T E O F M E D I C I N E Shaping the Future for Health Crossing the Quality Chasm A NEW HEALTH SYSTeM for the 21ST century The . health care delivery system does not provide consistent high-quality medical care to all people. Americans should be able to count on receiving care that meets their needs and is based on the best scientific knowledge--yet there is strong evidence that this frequently is not the case. Health care harms patients too frequently and routinely fails to deliver its potential benefits. Indeed between the health care that we now have and the health care that we could have lies not just a gap but a chasm. A number of factors have combined to create this chasm. Medical science and technology have advanced at an unprecedented rate during the past half-century. In tandem has come growing complexity of health care which today is characterized by more to know more to do more to manage more to watch and more people involved than ever before. Faced with such rapid changes the nation s health care delivery system has fallen far short in its ability to translate knowledge into practice and to apply new technology safely and appropriately. And if the system cannot consistently deliver today s science and technology it is even less prepared to respond to the extraordinary advances that surely will emerge during the coming decades. The public s health care needs have changed as well. Americans are living longer due at least in part to advances in medical science and technology and with this aging population comes an increase in the incidence and prevalence of chronic conditions. Such conditions including heart disease diabetes and asthma are now the leading cause of illness disability and death. But today s health system remains overly devoted to dealing with acute episodic care needs. There is a dearth of clinical programs with the multidisciplinary infrastructure required to provide the full complement of services needed by .