role for patients in managing their own health care,25 and yet greater emphasis on efficiency and cost control in health care. As a result, health care processes will become more complex and more time-constrained, and the demands placed on care providers will become more intense.


Chapter 2 reviews the IOM vision of 21st century health care and wellness as the appropriate point of departure for the committee’s work. Chapter 3 describes a chasm between current efforts to deploy health care IT and what the committee believes is needed to achieve the IOM vision. Chapter 4 describes the committee’s perspective on principles for developing and deploying successful health care IT, with success defined as progress toward the IOM vision. Chapter 5 describes some illustrative research challenges for the computer science community that emerge from the IOM vision. Chapter 6 presents the committee’s recommendations, based on the results of its study, for government, for the computer science community, and for health care organizations.

Association 299(3):296-307, 2008. See also K.A. Kuhn et al., “Informatics and Medicine, from Molecules to Populations,” Methods of Information in Medicine 47(4):296-317, 2008.


Institute of Medicine, Building a Better Delivery System: A New Engineering/Health Care Partnership, 2005, p. 65.

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