You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT JAMA
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 300 No. 1, July 2, 2008 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Commentary
 This Article
 •Full text
 •PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Citing articles on Web of Science (10)
 •Contact me when this article is cited
 Related Content
 •Similar articles in JAMA
 Topic Collections
 •Medical Practice
 •Medical Practice, Other
 •Quality of Care
 •Quality of Care, Other
 •Alert me on articles by topic
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati Add to Twitter What's this?

Health Care Reform Requires Accountable Care Systems

Stephen M. Shortell, PhD, MBA, MPH; Lawrence P. Casalino, MD, PhD

JAMA. 2008;300(1):95-97.

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

Most health care reform proposals focus on expanding health insurance to cover all US individuals. But the companion challenge is how to make such coverage affordable given the fragmentation, waste, and variation in quality of care of the current delivery system. Comprehensive health care reform will require proposals that both expand coverage and redesign the delivery system so as to achieve greater value for the increased investment.

At the heart of the challenge is transforming a 19th-century craft-oriented delivery system to provide 21st-century biomedical science and technology. Most physicians still practice alone, in partnerships, or in small groups. Small practices generally have less capacity to implement electronic medical records, less frequently use teams to care for patients with chronic illness, and are less able to provide statistically reliable and valid data on quality and efficiency measures. A more solid . . . [Full Text of this Article]

Accountable Care Systems

Author Affiliations: Division of Health Policy and Management, School of Public Health, University of California, Berkeley (Dr Shortell); and Department of Health Studies, Biological Sciences Division, University of Chicago, Chicago, Illinois (Dr Casalino).



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Orienting Health Care Reform Around Universal Access
Cerise and Chokshi
Arch Intern Med 2009;169:1830-1832.
FULL TEXT  

Implementing Evidence-Based Health Policy in Washington State
Franklin and Budenholzer
NEJM 2009;361:1722-1725.
FULL TEXT  

Primary Care and Accountable Care -- Two Essential Elements of Delivery-System Reform
Rittenhouse et al.
NEJM 2009;0:NEJMp0909327v2-1.
FULL TEXT  

Multihospital Collaborations for Surgical Quality Improvement
Campbell and Dellinger
JAMA 2009;302:1584-1585.
FULL TEXT  

Bending the Cost Curve: A Critical Component of Health Care Reform
Shortell
JAMA 2009;302:1223-1224.
FULL TEXT  

Episode-Based Performance Measurement And Payment: Making It A Reality
Hussey et al.
Health Aff (Millwood) 2009;28:1406-1417.
ABSTRACT | FULL TEXT  

From Volume To Value: Better Ways To Pay For Health Care
Miller
Health Aff (Millwood) 2009;28:1418-1428.
ABSTRACT | FULL TEXT  

The Proposed Government Health Insurance Company -- No Substitute for Real Reform
Fuchs
NEJM 2009;360:2273-2275.
FULL TEXT  

The Patient-Centered Medical Home: Will It Stand the Test of Health Reform?
Rittenhouse and Shortell
JAMA 2009;301:2038-2040.
FULL TEXT  

Fostering Accountable Health Care: Moving Forward In Medicare
Fisher et al.
Health Aff (Millwood) 2009;28:w219-w231.
ABSTRACT | FULL TEXT  

Payment Reform Options: Episode Payment Is A Good Place To Start
Mechanic and Altman
Health Aff (Millwood) 2009;28:w262-w271.
ABSTRACT | FULL TEXT  

Slowing the Growth of Health Care Costs -- Lessons from Regional Variation
Fisher et al.
NEJM 2009;360:849-852.
FULL TEXT  

Building a Medical Neighborhood for the Medical Home
Fisher
NEJM 2008;359:1202-1205.
FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 2008 American Medical Association. All Rights Reserved.