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Book and Media Reviews
April 26, 2006

Chronic Illness

Author Affiliations

Book and Media Reviews Section Editor: Harriet S. Meyer, MD, Contributing Editor, JAMA.

JAMA. 2006;295(16):1947-1952. doi:10.1001/jama.295.16.1951

Recent years have seen a growing consensus and concern that there is a fundamental mismatch between Americans' predominantly chronic health needs and the acute-care orientation of the existing US health care enterprise. This mismatch is considered a key contributor to the “chasm” between the quality of care currently provided and what is capable of being achieved. High health-related costs for chronic conditions, exacerbated by demographic trends and technologic innovation, have further sparked efforts among researchers, policy makers, and practitioners to improve the delivery of chronic care in the United States.