To the Editor: The Clinical Crossroads article
by Dr Daley1 and the accompanying Editorial
by Dr Eisenberg2 address the unfortunate
state of affairs of the quality of service in health care. The solutions proposed
by Daley and Eisenberg include the application of complex systems and adaptive
theory, incorporation of patients' explicit preferences, and other aspects
of patient-focused care. As important as these are, to an extent they miss
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