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Real progress in medicine is based upon obtainingnew knowledge that provides clear guidance as to how toprevent or treat serious clinical problems. However, obtainingthat knowledge, in itself, is insufficient. Unlesspatients, clinicians, and those who fund, authorize, andoversee the delivery of services utilize the knowledge, itsacquisition may have little significance, except, perhaps,as a base for further research.’ ‹’ ‹’ ‹

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