title: The delivery system matters.
abstract: To meet the quality, affordability, and access challenges of today's health care system, the Institute of Medicine's (IOM's) Crossing the Quality Chasm report described the critical competencies of a twenty-first-century health care system. A growing body of research suggests that the nation's multispecialty group practices most nearly meet the delivery system challenges set forth by the IOM. A variety of current public and private initiatives and potential policy options could act as catalysts for the development and spread of group practice-based, accountable delivery systems that are effective and efficient.
authors.affiliation: Permanente Federation in Oakland, California, USA. jay.crosson@kp.org
authors.forename: Francis J
authors.initials: FJ
authors.lastname: Crosson
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D006123:Group Practice; D006801:Humans; D008511:Medicine; D011787:Quality of Health Care; D013038:Specialization; D014481:United States