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Building an integrated methodology of learning that can optimally support improvements in healthcare
  1. Joanne Lynn
  1. Colorado Foundation for Medical Care, Maryland, USA
  1. Correspondence to Dr Joanne Lynn, Colorado Foundation for Medical Care, 2318 Ashboro Dr, Chevy Chase, MD 20815, USA; drjoannelynn{at}


The methods for healthcare reform are strikingly underdeveloped, with much reliance on political power. A methodology that combined methods from sources such as clinical trials, experience-based wisdom, and improvement science could be among the aims of the upcoming work in the USA on comparative effectiveness and on the agenda of the Center for Medicare and Medicaid Innovation in the Centers for Medicare and Medicaid Services. Those working in quality improvement have an unusual opportunity to generate substantial input into these processes through professional organisations such as the Academy for Healthcare Improvement and dominant leadership organisations such as the Institute for Healthcare Improvement.

  • Public policy
  • quality improvement
  • comparative effectiveness research
  • continuous quality improvement
  • health policy
  • leadership
  • randomised controlled trial
  • research

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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