Minority Health and Health Equity Archive

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    Regional and Racial Variation in Health Care among Medicare Beneficiaries: A Brief Report of the Dartmouth Atlas Project
    (2008) Fisher, Elliott S.; Goodman, David C.; Chandra, Amitabh; Bronner, Kristen K.
    The Robert Wood Johnson Foundation’s Aligning Forces for Quality program commissioned this special report by the Dartmouth Atlas Project to highlight the uneven quality of health care being delivered across America and the need to improve the quality of care and reduce disparities in health in every community. Aligning Forces for Quality is working to lift the overall quality of health care in targeted communities across America, and provide models for national reform.
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    Tracking the Care of Patients with Severe Chronic Illness - The Dartmouth Atlas of Health Care 2008
    (2008) Wennberg, John E.; Fisher, Elliott S.; Goodman, David C.; Skinner, Jonathan S.; Bronner, Kristen K.
    In 2001 the Institute of Medicine (IOM) issued Crossing the Quality Chasm, a report that sent a wake-up call to patients, providers, and policy makers about the poor quality of American health care. The IOM argued that one of the central drivers of poor quality has been the unsystematic and fragmentary nature of our health care delivery system. Nowhere are the system’s failings more apparent than in the care of the chronically ill. More than 90 million Americans live with at least one chronic illness, and seven out of ten Americans die from chronic disease. Among the Medicare population, the toll is even greater: about nine out of ten deaths are associated with just nine chronic illnesses, including congestive heart failure, chronic lung disease, cancer, coronary artery disease, renal failure, peripheral vascular disease, diabetes, chronic liver disease, and dementia.