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Advocate for Evidence-Based Health System Reform

Brian Vastag

JAMA. 2004;291:1945-1947.

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

When Donald Berwick, MD, MPP, published an article on 11 worthy aims for clinical leadership in the health care system, flaws in the fragmented US health care system had just been thrown into the light by Hillary Clinton's reform efforts (JAMA.1994;272:797-805). Many of those defects, epitomized by high spending, have grown. Others, such as lapses in patient safety, are finally being addressed in a systematic fashion.

Donald M. Berwick, MD, MPP (Photo credit: Institute for Healthcare Improvement)

As president and chief executive officer of the nonprofit Institute for Healthcare Improvement, Don Berwick is perhaps the most articulate advocate of large-scale, evidence-based changes to health care. He founded the Institute for Healthcare Improvement in 1990 to bring method to the madness of studying health care in toto. Along the way, he has filled a number of complementary roles: cofounder of the National Demonstration Project on Quality Improvement . . . [Full Text of this Article]