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HEALTHCARE DELIVERY

Commentary: Garson's "physicians, coverage, quality, and cost: the intertwined caduceus"

^* Center for Clinical and Genetic Economics, Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA

Manuscript received July 10, 2003; revised manuscript received July 21, 2003, accepted July 27, 2003.

^* Reprint requests and correspondence: Dr. Kevin A. Schulman, Center for Clinical and Genetic Economics, Duke Clinical Research Institute, P.O. Box 17969, Durham, North Carolina 27715, USA.
kevin.schulman{at}duke.edu

It is not sufficient to recommend that we adopt information systems, promote cost-effective care, improve processes of care through education, and implement evidence-based practice. Specific strategies must be tested, reformulated, and tested again so that policymakers will have a useful set of strategies available to them.