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PERSPECTIVE
The Delivery System Matters
Francis J. Crosson
To meet the quality, affordability, and access challenges of todays health care system, the Institute of Medicines (IOMs) Crossing the Quality Chasm report described the critical competencies of a twenty-first-century health care system. A growing body of research suggests that the nations multispecialty group practices most nearly meet the delivery system challenges set forth by the IOM. A variety of current public and private initiatives and potential policy options could act as catalysts for the development and spread of group practicebased, accountable delivery systems that are effective and efficient.

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