Viewing health care delivery as science: Challenges, benefits, and policy implications

Peter J. Pronovost, Christine A. Goeschel

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations


The need for health services research is likely to rise rapidly as the population ages, health care costs soar, and therapeutic and diagnostic choices proliferate. Building an effective and efficient health care delivery system is a national priority. Yet the national health care quality report concludes that we lack the ability to monitor progress toward even basic quality and patient safety goals effectively. The gap between the need to improve and our ability to do so exists in part because we fail to view the delivery of health care as science, we lack national improvement priorities, and we lack a national infrastructure to achieve our stated goals. We discuss key challenges implicit in correcting these failures and recommend actions to expedite progress.

Original languageEnglish (US)
Pages (from-to)1508-1522
Number of pages15
JournalHealth services research
Issue number5 PART 2
StatePublished - Oct 2010
Externally publishedYes


  • Quality of care/patient safety (measurement)
  • health care organizations and systems
  • health policy/politics/law/ regulation

ASJC Scopus subject areas

  • Health Policy


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