RT Book, Section A1 Howell, Michael D. A1 Stevens, Jennifer P. SR Print(0) ID 1167643773 T1 Introduction: The Paradox of Keeping Healthcare Operations and Research Apart T2 Understanding Healthcare Delivery Science YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260026481 LK accessmedicine.mhmedical.com/content.aspx?aid=1167643773 RD 2024/03/28 AB Healthcare operations and research are systematically separate in most of healthcare today. Although more than $100 billion is spent in the United States on medical research annually, and the National Institutes of Health (NIH) budget allocates more than $30 billion a year to identifying novel biologic pathways and new therapeutics, very little is spent on understanding or improving how current patient care is delivered. In fact, only 0.2%–0.3% of U.S. healthcare expenditures support health services research, the very broad category of study that focuses on how healthcare is delivered, its quality, and its cost. Instead, most research dollars focus on basic science, pharmaceutical research, and medical device development.1