Staff of the NRC were extremely helpful in organizing the workshop and in working through various drafts of these reports. We are particularly grateful to Renae Broderick, a consultant to the project, for her work in preparing the workshop summary. We are also indebted to James McGee for his efforts in coordinating workshop participants and activities; to Susan McCutchen who was indispensable in arranging travel, compiling agenda materials, and managing the preparation of this volume; to Eugenia Grohman, associate director for reports of the Commission on Behavioral and Social Sciences and Education, whose editing greatly improved the report; and to Alexandra Wigdor for her interest, guidance, and support.

This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the NRC's Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making the published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process.

We wish to thank the following individuals for their participation in the review of the steering committee report, the workshop summary, or both: Peter C. Amadio, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN; David R. Challoner, Institute for Science and Health Policy, University of Florida; Richard Deyo, University of Washington Health Science Center; Michael Feuerstein, Uniformed Services University of the Health Sciences and Georgetown University School of Medicine; Mark D. Grabiner, Department of Biomedical Engineering, The Cleveland Clinic Foundation; Jay S. Himmelstein, Center for Health Policy and Health Services Research, University of Massachusetts Medical School; Frederick Mosteller, Department of Statistics (emeritus), Harvard University; Dorothy P. Rice, School of Nursing (emeritus), University of California, San Francisco; Stover H. Snook, Harvard School of Public Health; and Laura W. Welch, Department of Occupational and Environmental Medicine, Washington Hospital Center, Washington, DC.

While the individuals listed above have provided constructive comments and suggestions, it must be emphasized that responsibility for the final content of this report rests entirely with its authors and the institution.

RICHARD PEW, COCHAIR

COLIN DRURY, COCHAIR

ANNE MAVOR, STUDY DIRECTOR



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