RT Journal A1 Brook RH T1 DIsruption and innovation in health care JF JAMA JO JAMA YR 2009 FD October 7 VO 302 IS 13 SP 1465 OP 1466 DO 10.1001/jama.2009.1427 UL http://dx.doi.org/10.1001/jama.2009.1427 AB Disruption occurs when the expectations of individuals and the services provided are so vastly different that linear change is no longer likely.1 For example, disruption occurred in naval warfare when reliance on battleships was replaced by aircraft carriers,2 and in medicine when anesthesia and vaccines were introduced. Could similar kinds of successful disruption happen in the delivery of health care? There are 8 potential disruptions that could increase the value of health care.