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Organizers' Introduction to the Symposium on Quality Health Care

1 FOR THE PAST 20 YEARS, three considerations have dominated debates about the American health care system: cost of care, access to care, and quality of care.These three factors are related to each other in complex ways. Depending on the political landscape, one or another of these concerns has emerged for a time as the dominant focus. After a decade-long unsuccessful effort to contain the cost of care, primarily by managing patients and physicians, a more recent effort has emphasized quality of care (including the elimination of mistakes and errors) as another way to control costs. In the American context, quality of care is centrally important because despite spending more per capita on health care