![]() ![]() ![]() ![]() This goal is what matters for patients and unites the interests of all actors in the system. Achieving high value for patients must become the overarching goal of health care delivery, with value defined as the health outcomes achieved per dollar spent. Lack of clarity about goals has led to divergent approaches, gaming of the system, and slow progress in performance improvement. In health care, however, stakeholders have myriad, often conflicting goals, including access to services, profitability, high quality, cost containment, safety, convenience, patient-centeredness, and satisfaction. In any field, improving performance and accountability depends on having a shared goal that unites the interests and activities of all stakeholders. Two framework papers that develop the concepts outlined in this article, “” and “,” are available as Supplementary Appendixes. ![]()
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