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Book and Media Reviews
March 3, 2010

Designing Care: Aligning the Nature and Management of Health Care

JAMA. 2010;303(9):886-887. doi:10.1001/jama.2010.245

Richard Bohmer is a persuasive proponent of the view that “patient care, once the domain of the individual practitioner, is becoming the domain of the care delivery organization.” He argues that, as a result of this historic change, the organization of care in an “institutional context” is an “increasingly important determinant” of its effectiveness and efficiency (p 216) . Appropriate “design principles” for “two key operating systems” should be the basis of the reorganization of care: one system for delivering care known to be effective from research that meets international standards; the other for “creating new knowledge about which care to deliver in the future and how to better deliver it” through continuous experimentation and learning within organizations (p 218).

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