Health Affairs, 26, no. 1 (2007): 61 doi: 10.1377/hlthaff.26.1.61 © 2007 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

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Quality

PROLOGUE

Improving The Quality Of Cardiovascular Disease Care

Pluralism is the U.S. health system’s crown of thorns. Diversity, innovation, localized organization, and a richly marbled blend of public and private institutions are the glories of the system and a legitimate source of national pride. But in an increasingly complex scientific and technological environment, with medical knowledge and resources segregated into subspecialized silos, fragmentation and inefficiency plague the enterprise at the level of individual patient care and in the functioning of systems. In the crucial area of managing new technologies, where the financial sustainability of this rough beast is on the line, the perennial drift toward balkanization has particularly . . . [Full Text of this Article]

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