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Quality of Health Care
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Volume 335:1146-1149 October 10, 1996 Number 15
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The Origins of the Quality-of-Care Debate— Part Four of Six

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The current concern about quality of care in the United States is deeply paradoxical in many ways. From a technical and scientific standpoint, the capabilities of the nation's health care system are extraordinary. Decades of biomedical research have culminated in new forms of technology that have greatly improved the health of Americans. Two examples (benefiting very different demographic groups) are neonatal intensive care units and new inpatient treatments for coronary artery disease. Neonatal intensive care units account for a substantial portion of the recent decline in neonatal and infant mortality rates in the United States.1 Improvements in the inpatient care . . . [Full Text of this Article]

Quality and Cost Control

The New Sciences and Techniques of Quality Measurement and Improvement

The Changing Nature of Medical Practice


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Massachusetts General Hospital
Boston, MA 02114

Address reprint requests to Dr. Blumenthal at the Health Policy Research and Development Unit, Massachusetts General Hospital, 50 Staniford St., Boston, MA 02114.

References


Related Letters:

Series on the Quality of Health Care
Loftman B. A., Weinberg D., Stewart G. M., Friedman S. A., Greenwald M. S., Marciniak T. A., Golden W. E., Brasher R., Baker R., Lakhani M., Blumenthal D., Brook R. H., McGlynn E. A., Cleary P. D., Berwick D. M.
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N Engl J Med 1997; 336:804-807, Mar 13, 1997. Correspondence

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