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Medicine and SocietyThe Quality Movement — Part 1Free Preview

Reassessing Quality Assessment — The Flawed System for Fixing a Flawed System

List of authors.
  • Lisa Rosenbaum, M.D.

Decades into the quality improvement movement in U.S. health care, the fix for the system has become a massive, cumbersome, time-consuming, demoralizing system in its own right — and we don’t even know whether it is improving care.

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Funding and Disclosures

Disclosure forms provided by the author are available at

Next time: “Metric Myopia — Trading Away Our Clinical Judgment.”

This article was published on April 13, 2022, at

Author Affiliations

Dr. Rosenbaum is a national correspondent for the Journal.