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March 17, 1999

Defining and Improving Health Care Quality—Reply

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(11):984-985. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-11-jbk0317

In Reply: We reply as the cochair and project director of the IOM's National Roundtable on Health Care Quality, but do not presume to speak for the roundtable as a whole. We agree with Drs Early and Roberts that personal dedication to quality lies at the heart of what it means to be a physician. We also believe that such dedication should be supported in practice by systems of care that use the science (and art) of quality measurement and improvement to identify opportunities and facilitate action to improve. Personal dedication amplified by scientific approaches to quality improvement can change health care substantially and rapidly.

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