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April 1, 1998

The Challenge to Improve Quality of Care—Reply

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor


Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

JAMA. 1998;279(13):992-993. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-13-jbk0401

In Reply.—We thank Drs Ramunno and Dodds for reminding us about the important article by Drs Jencks and Wilensky published in JAMA in 1992.1 Significant progress has been made in response to the Health Care Financing Administration priority for clinical improvement in several areas including pneumonia2 and myocardial infarction.3 This is good news and fits well with the expressed intent of our Editorial. However, it only applies to the Medicare population, and we need to make such progress for all of our people.

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