Efficacy, effectiveness, variations, and quality. Boundary-crossing research.

more from integrating efficacy, effectiveness, variations in population-based rate of use, and quality of care into an operational model for policy, planning, and evaluation needs than from continuing to treat them as isolated subjects. We have been asked, however, specifically to consider future directions for quality assessment research and the uses to which its products should be put, and that is the main focus of this article. Nonetheless, our views of the directions research in this area should take are

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