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Previous Volume 345:702-703 August 30, 2001 Number 9 Next

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By the Committee on Quality of Health Care in America of the Institute of Medicine. 337 pp. Washington, D.C., National Academy Press, 2001. $44.95. ISBN 0-309-07280-8.

The Institute of Medicine's Committee on Quality of Health Care in America has issued its second and final report, Crossing the Quality Chasm: A New Health System for the 21st Century. The committee has done an excellent job, but its report is as noteworthy for what it omits as for what it says. It identifies and analyzes with great insight and clarity deficiencies in the quality of our present medical care delivery system, and it is persuasive in outlining how the system ought to work. But it does not say much about the fundamental causes of those deficiencies. Nor . . . [Full Text of this Article]

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