RT Journal
A1 Wharam J, Daniels N
T1 TOward evidence-based policy making and standardized assessment of health policy reform
JF JAMA
JO JAMA
YR 2007
FD August 8
VO 298
IS 6
SP 676
OP 679
DO 10.1001/jama.298.6.676
UL http://dx.doi.org/10.1001/jama.298.6.676
AB 
In the United States, deficiencies in health care quality, value, and access are well documented.1- 5 Recent trends such as pay-for-performance, increased patient cost-sharing, and state health insurance expansion programs may represent important reforms and even a “tipping point” for the US health care system.6- 7 Nevertheless, experts have cautioned that not only could unintended consequences occur but that no systems are in place to ensure accountability among policy makers.6,8- 9