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Nov/Dec 2005 Annals of Family Medicine tip sheet

t the expense of other, more effective translational or population health initiatives. But he also cautions we should not assume that closing the treatment gap will be easier or less costly than developing new health technologies. Teutsch calls for a national dialogue to discuss the goal of public health and health care enterprises. He proposes that all parties' success must be measured in units of health, not simply dollars, publications and services. Teutsch argues that such an effort cannot move forward without strong leadership from the federal government.

In a second editorial, Richard L. Kravitz, M.D., M.S.P.H. with the University of California, Davis, challenges several of Woolf and Johnson's assumptions and the logic behind some of their arguments. Nevertheless, he concedes that the main point of their article - that we spend far too little putting research into practice - is irrefutable. He calls for those involved in improving the delivery of health care to be fierce advocates for doing things better even as those in the laboratory continue to search for better things to do.

The Break-Even Point: When Medical Advances Are Less Important than Improving the Fidelity with Which They Are Delivered
By Steven H. Woolf, M.D., M.P.H., et al
Misaligned Incentives in America's Health: Who's Minding the Store?
By Steven M. Teutsch, M.D., M.P.H. and Marc L. Berger, M.D.
Doing Things Better vs Doing Better Things
By Richard L. Kravitz, M.D., M.S.P.H.

PHYSICIANS EMPLOYED BY LARGE HEALTH CARE ORGANIZATIONS REPORT LOWER JOB SATISFACTION
Physicians in independent practice report higher quality of work life than physicians employed by health care organizations, accordi
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Contact: Angela Sharma
asharma@aafp.org
913-906-6253
American Academy of Family Physicians
6-Dec-2005


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