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The American Health Care System Previous Volume 340:488-492 February 11, 1999 Number 6

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A vibrant movement to improve the quality of health care has sprung up in the United States. Report cards on health plans, hospitals, medical groups, and even individual physicians have appeared on the front pages of newspapers, on television, and on the Internet. Projects to solve problems of quality within health care institutions dot the health care landscape. A small but determined cadre of physician leaders has developed a science of health care quality and is working to transform that science into a national movement.

Two main strategic threads intertwine to create the present and future agenda of the movement . . . [Full Text of this Article]

Problems with Quality

Measuring Quality

Organizations Concerned with Quality

Pressuring Institutions from the Outside

Creating a Culture of Quality Inside Institutions

Conclusions

References

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