MANUSCRIPT: Fragmentation in US Medical Education, Research, and Practice: The Need for System Wide Defrag
Indeed, fragmentation is pervasive in all facets of American medicine and health care, including systems of medical education and research, health care delivery, and practice transformation. Fragmentation results from a lack of national and regional health care planning, an absence of a unified vision for social accountability and moral imperative, and a deficiency of financial incentive for a cohesive system of care with a balanced health care workforce.
http://www.stfm.org/fmhub/fm2013/January/Jerry54.pdf