Management
Envisioning the National Health Care Quality Report
The quality of health care received by the people of the United States falls far short of what it should be (Advisory Commission on Consumer Protection and Quality in the Health Care Industry, 1998; Chassin and Galvin, 1998). A large body of literature documents serious quality problems. There is a gap (some say a “chasm”) between the health care services that should be provided based on current professional knowledge and technology and those that many patients actually receive (Institute of Medicine, 2001; Institute of Medicine and National Research Council, 1999; Schuster et al., 2001). For example, the Na- tional Cancer Policy Board of the Institute of Medicine (IOM) has concluded that “for many Americans with cancer, there is a wide gulf between what could be construed as the ideal and the reality of their experience with cancer care” (Institute of Medicine and National Research Council, 1999). Another IOM re- port documented that tens of thousands of Americans are seriously harmed as a result of errors in health care (Institute of Medicine, 2000).
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