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July 10, 2013

Patient-Centered Performance ManagementEnhancing Value for Patients and Health Care Systems

Author Affiliations
  • 1Department of Veterans Affairs, Health Services Research and Development Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan
  • 2Department of Internal Medicine, University of Michigan, Ann Arbor
  • 3Robert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor
JAMA. 2013;310(2):137-138. doi:10.1001/jama.2013.6828

All too often, the US health care system fails patients at 2 levels. Some patients fail to receive care that would clearly help them, whereas other patients receive care that will not benefit them (and may even be harmful).1,2 Worse, clinicians also might fail to inform patients about the risks and benefits they might incur from even simple and common treatments. Instead, the current focus on one-size-fits-all guidelines and performance measures (eg, all patients should achieve a specified blood pressure [BP] threshold) discounts key commitments to personalizing care based on individual risks and preferences, even to the point of promoting unnecessary and harmful treatment.3,4

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