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Editorial
April 2005

Closing the Quality Chasm in Health CareThe Role of Critical Reading

Arch Pediatr Adolesc Med. 2005;159(4):394-395. doi:10.1001/archpedi.159.4.394

Few would argue that the well-discussed chasm between the quality of health care, as it is currently offered, and the level of quality expected by patients, insurers, and our profession itself is not real. The Institute of Medicine (Washington, DC) has clearly articulated the components of high-quality care.1 In addition to being patient centered, timely, and equitable, care must be efficient, effective, and safe. These latter 3 components depend on physicians applying the fruits of the biomedical research enterprise to the individual doctor-patient encounter.

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