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1 Health Care in the United States Today
Pages 13-18

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From page 13...
... McGlynn et al., "The Quality of Health Care Delivered to Adults in the United States," New England Journal of Medicine 348(26) :2635-2645, 2003, available at http://
From page 14...
... Administrative and organizational fragmentation, together with complex, distributed, and unclear authority and responsibility, further complicates the health care environment. Many of the relevant factors can be classified into three distinct areas: the tasks and workflow of health care, the institution and economics of health care, and the nature of health care IT as it is currently implemented.
From page 15...
... 14Respondents to an informal poll of the ACMI discussion list in June 2008 indicated that their home organizations (medical centers) often had to cope with many dozens of health care payers (usually insurers)
From page 16...
... Both patients and providers must navigate a confusing landscape of tertiary care centers, community hospitals, clinics, primary and specialist doctors and other providers, payers, health plans, and information sources.18 • Increasing tightness in the health care labor market for certain specialties, such as nurses,19 primary care physicians,20 health care paraprofessionals, and clinicians with informatics training. (Health/biomedical informatics training is not generally a requirement in most curricula for health care professionals, thus contributing to a scarcity of individuals so trained.)
From page 17...
... :1170-1179, 2005. 22William Stead, "Challenges in Informatics," in National Academy of Engineering and Institute of Medicine, Building a Better Delivery System: A New Engineering/Health Care Partnership, The National Academies Press, Washington, D.C., 2005.
From page 18...
... Chapter 4 describes the committee's perspective on principles for developing and deploying successful health care IT, with success defined as progress toward the IOM vision. Chapter 5 describes some illustrative research challenges for the computer science community that emerge from the IOM vision.

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