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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
Kerr EA, Hayward RA. Patient-Centered Performance ManagementEnhancing Value for Patients and Health Care Systems. JAMA. 2013;310(2):137-138. doi:10.1001/jama.2013.6828