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Toward a Common Pathway

Kaytura Felix Aaron, MD; Carolyn M. Clancy, MD

JAMA. 2003;289:1033-1034.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Two influential reports from the Institute of Medicine, Crossing the Quality Chasm¹ and Unequal Treatment,² have focused attention on contemporary challenges confronting health care delivery. The first describes a health care system that often fails to provide care based on current science and that is customized to the needs and preferences of individuals. The second summarizes increasing evidence reflecting systematic differences in care associated with patient race, ethnicity, and other factors. Both reports have prompted considerable discussions and debate among the medical profession and the public. However, a growing consensus accepts that a strategy integrating reduction in disparities in quality of care is a coherent and efficient approach to redesigning the US health care system.³

In this issue of THE JOURNAL, the study by Sehgal⁴ addresses a crucial question: Can efforts to improve quality of care for dialysis patients simultaneously reduce . . . [Full Text of this Article]

Author Affiliations: Office of Priority Populations Research, Agency for Healthcare Research and Quality, Rockville, Md.

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