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Stephen M. Shortell, PhD, MBA, MPH; Thomas G. Rundall, PhD; John Hsu, MD, MBA, MSCE

JAMA. 2007;298:673-676.

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

Not until about 100 years ago could a typical patient expect to benefit from the medical care provided by a typical physician. Today most patients benefit from medical care, but all patients could benefit more if clinicians routinely provided care consistent with the latest scientific knowledge. One report suggests that only 55% of US adults receive care consistent with current recommendations.¹ In 2001, the Institute of Medicine concluded that a chasm lies "between the healthcare we have and the healthcare we should have."² Moreover, the results of efforts to improve medical quality have been modest and uneven to date.³

Two components are necessary to improve the quality of medical care: advances in evidence-based medicine (EBM), which identify the clinical practices leading to better care, ie, the content of providing care,⁴ and knowledge of how to . . . [Full Text of this Article]

Providing High-Quality Care

Synthesizing the EBMgt Knowledge Base

Adding to the EBMgt Knowledge Base

Creating the Market for EBM and EBMgt Integration

Developing the Intellectual Capital to Support Integration

Author Affiliations: School of Public Health, University of California, Berkeley (Drs Shortell and Rundall); and Division of Research, Institute for Health Policy, Kaiser Permanente Medical Care Program, Oakland, California (Dr Hsu).

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