The Flip Side of Performance Measures: Comment on “The Other Side of Quality Improvement in Diabetes for Seniors”
Abstract
Almost all performance measures are based on recommendations to do something—screen for cancer; reduce blood pressure, lipoprotein levels, or glycohemoglobin values; and start treatment with medications that reduce risk among persons with conditions such as coronary disease or congestive heart failure. Used in appropriate patients in the correct circumstances, these interventions have been shown to be beneficial. However, there is also ample evidence that overtreatment is harmful in...