March 2001 I N S T I T U TE OF M E D I C I N E Shaping the Future for Health CROSSING THE Q UALITY CHASM: A NEW HEALTH SYSTEM FOR THE 21ST CENTURY T he U.S. health care delivery system does not provide consistent, highquality medical care to all people. Americans should be able to count on receiving care that meets their needs and is based on the best scientific knowledge--yet there is strong evidence that this frequently is not the case. Health care harms patients too frequently…
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