05/23/2026
💬 Viewpoint by Y. Tony Yang, ScD, LLM, MPH, and William Sage, MD, JD: Twenty-five years after the Institute of Medicine’s “Crossing the Quality Chasm,” US health care has achieved measurable technical improvements but largely relied on incremental interventions rather than structural transformation.
While electronic health record adoption, infection reductions, and value-based payment reforms are significant, persistent health disparities, rising administrative burden, and limited progress in equity and patient-centeredness indicate the original vision remains unfulfilled.
The system’s efforts have often filled rather than bridged the quality chasm, highlighting the need for integrated, parsimonious quality improvement and foundational change.
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