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Commentary
December 2, 2009

Redesign of the Health Care Delivery SystemA Bauhaus “Form Follows Function” Approach

Author Affiliations

Author Affiliation: University of California, San Francisco Department of Family and Community Medicine, San Francisco General Hospital, San Francisco.

JAMA. 2009;302(21):2363-2364. doi:10.1001/jama.2009.1772

The governing design principle of the US health care system has been described as an “edifice complex” and a “field of dreams” complex—if the health system builds it, the patients will come. This clinician-centric approach to the design of delivery of health care is obsolete, contributing to health care of inferior quality and excessive cost. To meet the patient-centered needs of a modern health care system, the United States should consider adopting the Bauhaus design principle of “form follows function.”

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