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Introduction | ||
Welcoming Remarks | ||
Fusing Excellence to Reform | 1 | |
Three Threats to the Capacity for Excellence in Medicine | 8 | |
Art, Science, and the Doctor-Patient Relationship | 19 | |
The Doctor-Patient Relationship | 22 | |
The Doctor-Patient Relationship: Quantification of the Interaction | 27 | |
Excellence in Clinical Subspecialties | 36 | |
In Defense of Health Care: Preserving the Capacity for Excellence | 39 | |
Doctor-Patient and Doctor-Patient-Society Relationships after Health Care Reform | 56 | |
New Roles in Medicine and Medical Education: Opening Remarks | 67 | |
Medical Education: Reexamining the Roles | 68 | |
The Physician as Health Agent | 73 | |
The Generalist Physician | 78 | |
Some Potential Impacts of Health Care Reform on Medical Education | 83 | |
The States as Health Reform Laboratories | 91 | |
Research and Innovation: Introduction | 95 | |
Impact of Health Care Reform on Research Innovativeness | 106 | |
The Contribution of Pharmaceutical Companies: What's at Stake for America: Executive Summary from a Report Prepared by the Boston Consulting Group | 111 | |
Spending to Save: Financial Reform for the Medicine of the Future | 127 | |
Health Care Reform: Impact on R&D and Innovation in the Biotechnology Industry | 128 | |
The Significance of Health Care Reform for Research, Innovations, and Academic Medicine | 132 | |
Quality versus Excellence | 143 | |
Quality and Excellence - Essential and Inseparable | 145 | |
Measuring Quality: Where Are We? Where Are We Going? And How Will We Know When We Get There? | 150 | |
Promoting Excellence in Health Care: A Legal Perspective | 159 | |
Clinical Excellence and Research: One and Indivisible | 162 | |
The Politics of Quality versus Excellence | 164 | |
Preserving the Capacity for Excellence: Valid Measures of Quality | 167 | |
The Reform Forecast for Society's Health Care Commons: Heavy Fog and Hazardous Driving Conditions | 175 | |
Geriatrics and Health Care Reform: Opportunities in Managed Care for Preserving Excellence in the Care of the Elderly | 178 | |
Defining Social Choices and Distributing Social Resources on the Health Care Commons | 182 | |
It's the Medicine, Stupid | 186 | |
Appendix: Where to Look It Up | 197 | |
Index of Contributors | 199 |
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