NEJM June 13, 2018
Bellinda Schoof, MHA, CPHQ & John Wiesman, DrPH, MPH

It is widely acknowledged that the health problems our nation faces cannot be solved with the traditional — and often siloed — ways of approaching care and prevention. Unsustainable and rising health care costs continue to outpace gross domestic product growth and prevent other crucial investments; and yet, our costly health care system produces poor health outcomes with troubling inequities and trends in infant mortality, life expectancy, chronic illness, obesity, etc.

To solve these problems, we must build strong cross-sector partnerships and coordinate our efforts and resources. There are real challenges to doing this, which explains why successful coordination between public health and health care systems is rare.

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