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July 20, 2011

Value of Health Care Delivery

Author Affiliations

Author Affiliations: Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts (

JAMA. 2011;306(3):267. doi:10.1001/jama.2011.987

To the Editor: In his Commentary, Dr Brook advocated for enhanced collaboration between clinicians and health sciences researchers to maximize health care value and reduce cost.1 Thoughtful consideration of how health sciences data can be used to improve the delivery of care requires a framework that includes categories that are mutually exclusive and comprehensively exhaustive. Brook's identification of reliability, appropriateness, frequency, labor, and transparency provides a step in the right direction. However, we suggest that efficiency and safety should serve as additional foci for assessment with the goal to identify and reduce waste and errors in health care delivery.

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