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Library of Congress Cataloging-in-Publication Data

Best care at lower cost : the path to continuously learning health care in America / Committee on the Learning Health Care System in America, The Institute of Medicine ; Mark Smith … [et al.], editors.

p. ; cm.

Includes bibliographical references.

ISBN 978-0-309-26073-2 (hardcover) — ISBN 978-0-309-26074-9 (pdf)

I. Smith, Mark D., M.D. II. Institute of Medicine (U.S.). Committee on the Learning Health Care System in America.

[DNLM: 1. Delivery of Health Care—economics—United States. 2. Costs and Cost Analysis—United States. 3. Efficiency, Organizational—economics—United States. 4. Quality of Health Care—economics—United States. W 84 AA1]



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The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine). 2013. Best care at lower cost: The path to continuously learning health care in America. Washington, DC: The National Academies Press.

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