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Overuse of Health Care Services

Overuse of Health Care Services Opinion LESS IS MORE VIEWPOINT When Less Is More...More or Less There is widespread agreement that more is not al- not have a measureable effect on quality of life or mor- Allison Lipitz-Snyderman, ways better in health care. Doing more can harm tality. Rather, the low likelihood of meaningful benefit PhD patients, generate excess costs, and defy patient pref- is associated with the high costs of DEXA screening (es- Department of erences. All are major threats to the delivery of high- timated $70 per scan, totaling $527 million per year in Epidemiology and quality health care. Reflecting this notion, the Institute the United States for women younger than 65 years ). Biostatistics, Memorial Sloan-Kettering Cancer of Medicine (IOM) National Roundtable on Health Care The reasons not to initiate long-term dialysis without Center, New York, 1 Quality coined the term overuse in 1998, adapting the shared decision making are more complex than merely New York. definition of an inappropriate service developed for the avoiding the initiation of a service expected to do more RAND Appropriateness Method in the 1980s. Over- harm than good. Rather, integrating individual prefer- Peter B. Bach, MD, use was defined as “a health care service [that] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Overuse of Health Care Services

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2013.6181
pmid
23712254
Publisher site
See Article on Publisher Site

Abstract

Opinion LESS IS MORE VIEWPOINT When Less Is More...More or Less There is widespread agreement that more is not al- not have a measureable effect on quality of life or mor- Allison Lipitz-Snyderman, ways better in health care. Doing more can harm tality. Rather, the low likelihood of meaningful benefit PhD patients, generate excess costs, and defy patient pref- is associated with the high costs of DEXA screening (es- Department of erences. All are major threats to the delivery of high- timated $70 per scan, totaling $527 million per year in Epidemiology and quality health care. Reflecting this notion, the Institute the United States for women younger than 65 years ). Biostatistics, Memorial Sloan-Kettering Cancer of Medicine (IOM) National Roundtable on Health Care The reasons not to initiate long-term dialysis without Center, New York, 1 Quality coined the term overuse in 1998, adapting the shared decision making are more complex than merely New York. definition of an inappropriate service developed for the avoiding the initiation of a service expected to do more RAND Appropriateness Method in the 1980s. Over- harm than good. Rather, integrating individual prefer- Peter B. Bach, MD, use was defined as “a health care service [that]

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jul 22, 2013

References