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Vital Directions from the National Academy of Medicine
October 25, 2016

Systems Strategies for Health Throughout the Life Course

Author Affiliations
  • 1National Academy of Medicine, Washington, DC
  • 2Mt Sinai School of Medicine, New York, New York
  • 3University of California-Los Angeles School of Medicine, Los Angeles
JAMA. 2016;316(16):1639-1640. doi:10.1001/jama.2016.14896

Based on measures of cost, quality, efficiency, and equity, the US health system is substantially underperforming—a failure unlikely to respond to incremental modifications in the prevailing system. Rather, the improvements required demand a transformative re-orientation and restructuring, moving beyond the focus on reactive, isolated, and episodic medical care events to an integrated system capable of delivering better health for all. Such systems-focused strategies will be essential in designing and integrating individual and population health goals, treatment- and prevention-oriented interventions, data and learning systems, and payment and governance.