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In 2001, the Institute of Medicine (IOM) and the National Academy of Sciences (NAS) attributed substantial problems in the quality of American medicine to four domains: growing complexity of science and technology; the increase in chronic conditions; a poorly organized delivery system; and constraints on exploiting the revolution in information technology (IT). Although all of these domains have been improved by IT systems within the last decade, the U.S. health care systems has been slow todoi:10.4236/ce.2012.326120 fatcat:kfpfdwjdfbawrmigmqg6vgylpq