Abstract
Improving both the quality and costs of healthcare has become a major focus for the US Federal Government in its role both as a payor and as the source of healthcare policy. A series of initiatives have been undertaken since the mid-1990s culminating in the Accountable Care Act. There is a continued need to engage the medical profession in both quality improvement and wise allocation of society’s healthcare resources, and the profession must advocate for this role in its interactions with the Federal Government.
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References
Hackbarth G, Boccuti C. Transforming graduate medical education to improve health care value. N Engl J Med. 2011;364:693–5.
Quality first: better healthcare for all Americans. Report of the Presidential Commission on Quality in Health Care; 1998.
Kohn LT, Corrigan JM, Donaldson M, editors. Committee on Quality of Health Care in America, Institute of Medicine Report. To err is human: building a safer health system. Washington DC: National Academy of Sciences; 2000. ISBN 0-309-06837-1.
Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: Institute of Medicine: 2001. ISBN 0-309-07280-8.
Fuchs VR, Milstein A. The $640 billion question – why does cost-effective care diffuse so slowly? N Engl J Med. 2011;364:1985–7.
Kocher R, Sahni NR. Physicians versus hospitals as leaders of accountable care organizations. N Engl J Med. 2010;363:2579–82.
Igelehart JK. Assessing an ACO Prototype-Medicare’s Physician Group Practice demonstration. N Engl J Med. 2011;364:198–200.
Creuss RL, Creuss SR. The Osler Fellows Program: physicianship, professionalism, and medicine’s social contract with society. www.medicine.mcgill.ca/physicianship/Presentations/IntrotoProfessionalismforOslerFellows.
Mayer Jr JE. Is there a role for the medical profession in solving the problems of the American Health Care System? Ann Thorac Surg. 2009;87:1655–61.
Krause EA. Death of the guilds. New Haven: Yale University Press; 1995. p. 29–49.
Weintraub WS, Grau-Sepulveda MV, Weiss JM, O’Brien SM, Peterson ED, Kolm P, Zhang Z, Klein LW, Shaw RE, McKay C, Ritzenthaler LL, Popma JJ, Messenger JC, Shahian DM, Grover FL, Mayer JE, Shewan CM, Garratt KN, Moussa ID, Dangas GD, Edwards FH. Comparative effectiveness of revascularization strategies. N Engl J Med. 2012;366:1467–76.
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Mayer, J.E. (2015). The Role of the Federal Government in the Improvement of Healthcare Quality and Reduction of Costs in the United States. In: Barach, P., Jacobs, J., Lipshultz, S., Laussen, P. (eds) Pediatric and Congenital Cardiac Care. Springer, London. https://doi.org/10.1007/978-1-4471-6566-8_18
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DOI: https://doi.org/10.1007/978-1-4471-6566-8_18
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