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Previous Volume 347:1709-1710 November 21, 2002 Number 21 Next

	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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The seminal Institute of Medicine report, "Crossing the Quality Chasm,"¹ identified several attributes of the health care system needed for the 21st century. These include equity; "providing care that does not vary in quality because of personal characteristics" such as sex, ethnic background, geographic location, and socioeconomic status; and effectiveness. In order to achieve these aims, the Institute of Medicine concluded, health system redesign must address organizational challenges such as the "coordination of care across patient conditions, services, and settings over time" and the effective use of clinical teams. These are not simply ideals; health system redesign is required to . . . [Full Text of this Article]

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