National Academy of Medicine

The Clinical Trials Enterprise in the United States: A Call for Disruptive Innovation

Over the past decade, the symbiotic relationship between the clinical trials enterprise (CTE) and
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A Path to Accountable Care

With all the attention being paid to emerging accountable care organizations throughout the country, a California model is delivering measurable results. Ca
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Surgical Complexity Initiative

A basic aim of effective and efficient health care is ensuring the right match between the patient’s condition and the setting for the patient’s care. W
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Controlling Costs: A Distinction and Our Choice

Amidst the politicized and polarized debate on health care policy, it is encouraging to know that the goal of this discussion remains un
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Taking Aim at the Right Targets

Despite past efforts to improve patient safety—and there has been effort and activity aplenty—routine safety processes continue to fail routinely. Poor
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Innovating to Improve Care and Manage Costs

The challenging economics of health care require today’s innovators to demonstrate value against a number of criteria, including access to
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Free Employee Flu Shots Pay Prevention Dividends

As is the case every year, millions of Americans will contract influenza this flu season, and thousands will die. During the 2009–10 s
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Walking Our Way to Better Health

We are spending 2.8 trillion dollars each year in the United States on health care—far more than any other country in the world. Interestingly, more t
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