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Guideline Recommendations and Results: The Importance of the Linkage

Harlan M. Krumholz, MD, SM
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From Yale University School of Medicine, New Haven, CT 06510.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Harlan M. Krumholz, MD, SM, Yale University School of Medicine, 333 Cedar Street, Room I-456 SHM, PO Box 208088, New Haven, CT 06120-8088; e-mail, harlan.krumholz@yale.edu.

Ann Intern Med. 2007;147(5):342-343. doi:10.7326/0003-4819-147-5-200709040-00010
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The landscape of medical practice is changing rapidly, and the era of accountability, heralded almost 20 years ago by Relman (1), has undoubtedly arrived. Efforts to codify practice and assess the performance of medical care are proliferating, along with rewards for good practice in the form of a wide array of financial and nonfinancial incentives. These incentives are finding their way into the fabric of the health care system as those who pay for health care strive to bring practice into alignment with evidence.

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