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Analysis of health care in US indicates that improvement in outcomes has slowed
Date:11/12/2013

increasingly are expected to substitute social and economic goals for the needs of a single patient."

The researchers write that at the highest level, the U.S. health system is struggling to adapt to competing goals, desires, and expectations. "The conflict among patient desires, physician interests, and social policy is certain to increase. Those tensions will likely become a palpable force that may hinder care integration and inhibit other changes that favor improved outcome and savings. The usual approach is to address each constituency in isolation rather than optimizing efforts across them. The triangle will need to be reconciled. This is the chief challenge of the next decade."

"A national conversation, guided by the best data and information, aimed at explicit understanding of choices, tradeoffs, and expectations, using broader definitions of health and value, is needed."


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Contact: Stephanie Desmon
sdesmon1@jhmi.edu
410-955-8665
The JAMA Network Journals
Source:Eurekalert

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