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AJPH First Look, published online ahead of print Aug 29, 2007
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October 2007, Vol 97, No. 10 | American Journal of Public Health 1732-1733
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2007.116707

LETTER

INATTENTION TO THE FIDELITY OF HEALTH CARE DELIVERY IS COSTING LIVES

Steven H. Woolf, MD, MPH and Robert E. Johnson, PhD

Steven H. Woolf is with the Department of Family Medicine, Virginia Commonwealth University, Richmond, and the Department of Epidemiology and Community Health, Virginia Commonwealth University, Richmond. Robert E. Johnson is with the Department of Biostatistics, Virginia Commonwealth University, Richmond, and the Department of Family Medicine, Virginia Commonwealth University, Richmond.

Correspondence: Requests for reprints should be sent to Steven H. Woolf, MD, MPH, Departments of Family Medicine, Epidemiology and Community Health, Virginia Commonwealth University, West Hospital, 1200 East Broad Street, P.O. Box 980251, MCV Station, Richmond, VA 23298-0251 (e-mail: swoolf@vcu.edu).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

Leroy et al.1 examined what we call the fidelity of health care delivery, the extent to which the system provides patients with the interventions they need, delivered properly and precisely when they need them.2 According to their analysis of interventions for children in 42 low-income countries, improving fidelity rather than the technology of care (e.g., new drugs) would save almost 3 times as many lives. They reported that research on child mortality in developing countries deals overwhelmingly with technological advances, giving comparatively little attention to delivery and utilization.1

This imbalance is hardly unique to developing countries. We reached the same . . . [Full Text]






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