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Innovation needs to follow reform for US to get better healthcare

BMJ 2011; 342 doi: (Published 14 March 2011) Cite this as: BMJ 2011;342:d1624
  1. Bob Roehr
  1. 1Washington, DC

Healthcare reform in the United States requires a simultaneous change in technology, attitudes, work roles, and reimbursement, according to results of demonstration projects highlighted in the March edition of Health Affairs (

A piecemeal or partial change in one area or a few areas will not be enough, and often care providers will slide back into old patterns of delivering care once the funding of a demonstration project ends, authors warn.

The results of the projects were presented at a conference on innovation in December, sponsored by the journal, and were released on 8 March.

One project, by the Baylor Health Care System, introduced off the shelf electronic health records into 26 primary care practices in north Texas …

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