Second, many of the problems that the committee members identified, which became the focus of the report, fit equally well under more than one aim (e.g., lack of care coordination affects the effectiveness, safety, timeliness, efficiency, and even patient-centeredness of care—five of the six aims). Although it was relatively easy to separate out the issues most closely related to patient-centered care (as the committee did in a separate chapter), this did not hold true for the rest of the issues addressed by the committee. More problematic, the solutions to the problems also often addressed more than one aim or rule (e.g., better dissemination of evidence affects effective care, as well as safe and timely care). As a result, organizing the report’s chapters by the rules or aims would have resulted in a great deal of redundancy.


Mary Jane England, MD (Chair), graduated from Regis College and Boston University with a medical degree, and began a national and international career as a child psychiatrist, a Harvard University dean, and corporate executive and CEO. She served as commissioner of the Massachusetts Department of Social Services from 1979 to 1983, and later as associate dean and director of the Lucius N. Littauer Master in Public Administration Program at the John F. Kennedy School of Government at Harvard University (1983–1987), and then as president of the Washington Business Group on Health. In 2001 she returned to Regis College to become its ninth and first lay president. Recipient of numerous honors and awards, including honorary degrees from Boston University, the Massachusetts School of Professional Psychology, and the University of Texas, Dr. England is past president of the American Psychiatric Association and the American Women’s Medical Association. In 2002 she served as a member of the blue-ribbon task force of professional experts in the new Commission for the Protection of Children in the troubled Archdiocese of Boston. During 2003, she received an ABCD (Action for Boston Community Development) award in Boston for her community service and outstanding contributions to protecting at-risk children and families. In 2004 she received the annual Elizabeth Blackwell Award for a distinguished American woman physician from the American Women’s Medical Association.

Paul S. Appelbaum, MD, is A. F. Zeleznik distinguished professor of psychiatry, chairman of the Department of Psychiatry, and director of the Law and Psychiatry Program at the University of Massachusetts Medical School. He is the author of many articles and books on law and ethics in clinical practice, including four that were awarded the Manfred S. Guttmacher Award from the American Psychiatric Association and the American Acad-

The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement