Issues and challenges in quality assurance of health care.
In this paper I review the health care crisis in the United States and conclude that fundamental changes must be made. I then present: (1) an organizational approach that might be encompassed in President Clinton's program for health care reform; (2) my "dream" of a national quality improvement system for reform, based on The Netherlands Model; and (3) a suggestion that strengthening primary care will be the key to the success of this reform in the coming years.
Salt Lake Regional Medical Education Center, Salt Lake Veterans Affairs Medical Center, UT.
J W
JW
Williamson
D018166:Health Care Reform / Q000331:legislation & jurisprudence / Q000639:trends*; D006801:Humans; D009310:National Health Insurance, United States / Q000639:trends; D009313:National Health Programs / Q000639:trends; D009426:Netherlands; D011320:Primary Health Care / Q000331:legislation & jurisprudence / Q000639:trends*; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence / Q000639:trends*; D014481:United States