Best Care at Lower Cost

A review of the 2012 report from the Institute of Medicine

Julie Balch Samora, MD, PhD, MPH, and David B. Bumpass, MD

More than a decade after the Institute of Medicine (IOM) published To Err Is Human: Building a Safer Health System, underperformance, inefficiency, and exorbitant costs continue in the U.S. healthcare system. Although biomedical knowledge, innovations in therapies and surgical procedures, and management of chronic conditions have substantially advanced, American health care has failed to significantly improve in many areas. There are shortcomings in each of the six aims for quality care (safety, effectiveness, efficiency, equity, timeliness, and patient-centeredness) identified in the 2001 IOM report Crossing the Quality Chasm.

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