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role in decisions that affect them personally; they are also likely to be willing to challenge traditional authority figures.


Realization of greater patient involvement in the decisionmaking process, a vision that the IOM and AARP share, holds much promise for fulfilling beneficiaries' hopes and meeting their needs. We look forward to working with the IOM, Congress, the administration, and the provider and beneficiary communities to achieve that end.


Institute of Medicine. Medicare: A Strategy for Quality Assurance. Volumes I and II. Lohr, K.N., ed. Washington, D.C.: National Academy Press, 1990.

Wennberg, J.E. A Patient Outcomes Orientation: A Response. Pp. 73-78 in Medicare: New Directions in Quality Assurance. Donaldson, M.S., Harris-Wehling, J., and Lohr, K.N., eds. Washington, D.C.: National Academy Press, 1991.

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