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Commentary |

Reducing Waste in US Health Care Systems

Roger W. Bush, MD
JAMA. 2007;297(8):871-874. doi:10.1001/jama.297.8.871.
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An epidemic of waste blights the US health care delivery system. Despite a huge dedication of resources to health care in the United States, the medical system does not deliver safe, effective, efficient, patient-centered, timely, and equitable care as recommended by the Institute of Medicine.1

Specifically, the US health care system is not safe: 50 000 to 100 000 or more lives are lost each year because of medical error,2 and 42% of respondents to a public survey reported experience with poorly coordinated, inefficient, or unsafe care.3

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