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Viewpoint |

Defining Quality in the Era of Health Care Reform

Christine G. Gourin, MD, MPH1; Marion E. Couch, MD, PhD, MBA2
[+] Author Affiliations
1Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland
2Department of Otolaryngology–Head and Neck Surgery, Indiana University, Indianapolis
JAMA Otolaryngol Head Neck Surg. 2014;140(11):997-998. doi:10.1001/jamaoto.2014.2086.
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This viewpoint details health care reform policies and advocates an active role of physicians in reform implementation generally and otolaryngologic reform especially.

The United States faces a fiscal crisis due to unsustainable growth in federal spending at rates significantly higher than inflation. Entitlement spending represented nearly 62% of the federal budget in 2012.1 Medicare accounts for the majority of federal health care spending with the fastest rate of growth because of increased enrollment and utilization of services, increased severity of illness and treatment intensity, and faster growth in prices.2 At the same time, the quality of US health care has been called into question following a series of landmark reports by the Institute of Medicine (IOM). These observations underlie current health care reform efforts.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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