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Editor's Correspondence
February 8, 2010

The Evidence Chasm

Author Affiliations

Author Affiliations: Department of Medicine, Johns Hopkins University School of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland.


Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Intern Med. 2010;170(3):306. doi:10.1001/archinternmed.2009.540

We read with great interest the comments by Lin and Dudley1 on patient-centered care (PCC) but were struck by the cognitive leap the authors made as they transitioned from a discussion of PCC in the opening paragraph to “high-quality, patient-centered decision making” in the second. While the marriage of high-quality care and PCC seems intuitive, in fact, the current evidence base that PCC improves quality of care or reduces morbidity and mortality is limited.

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