0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Academia and the Profession |

Physicians as Leaders in Improving Health Care: A New Series in Annals of Internal Medicine

Donald M. Berwick, MD, MPP; and Thomas W. Nolan, PhD
[+] Article and Author Information

From the Institute for Healthcare Improvement, Boston, Massachusetts. Requests for Reprints: Donald M. Berwick, MD, MPP, Institute for Healthcare Improvement, 135 Francis Street, Boston, MA 02215. Current Author Addresses: Dr. Berwick: Institute for Healthcare Improvement, 135 Francis Street, Boston, MA 02215.


Copyright ©2004 by the American College of Physicians


Ann Intern Med. 1998;128(4):289-292. doi:10.7326/0003-4819-128-4-199802150-00008
Text Size: A A A

Searching for one word to describe the state of mind of the physician in the United States today, we might choose beleaguered.Threats appear from all sides-from payers, would-be managers of care, the growth of technology, and even patients. The rhetoric is one of siege and battle, and the dynamic seems to be a clash of values from which only one winner can emerge.

But scientific and health services research suggest otherwise.Science suggests that health care could, indeed, perform a great deal better than it does today and that a shared aim of improving health outcomes for patients at a cost that society can afford is sensible and within reach. However, achievement of these improvements will require of physicians not handwringing and resistance to change but concerted, positive, capable leadership.

The goal of this series in Annals is to describe a new knowledge base that will help physicians participate effectively in the redesign of the health care system.The series is intended to raise the curiosity of physicians about the skills they will need to become more active and influential citizens of the health care community in accomplishing improvements. These skills will help physicians better deploy their clinical expertise and professional purpose in a debate that has heretofore been informed primarily by economics.

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Journal Club
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)