President's page: fighting quality fatigue: why excellence matters.

نویسندگان

James T Dove

Harlan M Krumholz

John E Brush

چکیده

health care debate. t is easy for physicians to be discouraged in today’s medical environment. Physicians strive to deliver quality care under increasing pressure to prove its quality. Tactics cloaked as being quality improvement are often designed to cut cost, reduce choices or patients, and promote the economic interest of payers and government. The practice of medicine is being squeezed between increasing overhead cost and dereasing reimbursement. Everyone is demanding higher quality yet there is a lack of uniersal agreement on what quality is, how it should be measured, how to ensure its delivry, and who should cover the cost. System redesign is needed to meet these challenges.

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