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A Piece of My Mind
May 14, 2014

Filling Buckets

Author Affiliations
  • 1Division of Health Policy and Economics, Department of Healthcare Policy and Research, and Department of Medicine, Weill Cornell Medical College, New York, New York
  • 2Weill Cornell Medical College, New York, New York
  • 3Institute of Health Policy, Management and Evaluation and Department of Medicine, University of Toronto, Toronto, Ontario, Canada, and Department of Medicine, Mount Sinai Hospital and University Health Network, Toronto, Ontario, Canada
JAMA. 2014;311(18):1859-1860. doi:10.1001/jama.2014.2648

Systems awareness and systems design are important for health professionals but are not enough. They are enabling mechanisms only. It is the ethical dimension of individuals that is essential to a system’s success. Ultimately, the secret of quality is love. You have to love your patient, you have to love your profession, you have to love your God. If you have love, you can then work backward to monitor and improve the system.

Avedis Donabedian1

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