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It’s Morning in American Health Care ONLINE FIRST

Michael R. Rose, MD1
[+] Author Affiliations
1Surgical Services, Committee for Physician Development, McLeod Health, Florence, South Carolina
JAMA Surg. Published online August 27, 2014. doi:10.1001/jamasurg.2014.226
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Health care hasn’t held such hope and possibility for patients since the explosion of technological advances that began 3 decades ago. To be sure, this is an era of disruptive, wrenching change in the health care delivery system. It has been made especially unsettling because the course forward in the reform era is largely uncharted. But that patients, their families, and caregivers have so many reasons for optimism is a certainty that shouldn’t be lost in the tumultuous rhetoric of the day. The optimism that patients will get what they need, and want, is grounded in the extraordinary confluence of 4 powerful forces that are inexorably transforming health care: patients finding their voice; the broad adoption of a value framework for health care; physician receptivity to leadership and accountability; and proven, scalable improvement methodologies. These 4 forces, each multifaceted and inextricably linked, will empower patients to reap benefits as never before.

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