Memorial: Roger Alan Brumback, MD (1948-2013)

摘要

One quarter (24 %) of Americans have two or more chronic conditions. Their health care is often fragmented, low-quality, inefficient and unsatisfactory to them and then-physicians. The Institute of Medicine has described chronic care in America as "a nightmare to navigate."3 People with multi-morbidity are also at high risk fqr generating high health care expenditures: 96 % of the Medicare budget is spent on beneficiaries with multiple chronic conditions. Several flaws in the infrastructure of the U.S. health care system underlie these problems: inadequate professional education, inconsistent use of information technology, payment incentives that drive high-volume care, and lack of financial support for inter-professional communication and patient engagement in self-care.