Featured Research

from universities, journals, and other organizations

Study examines research on overuse of health care services

Date:
January 23, 2012
Source:
JAMA and Archives Journals
Summary:
The overuse of health care services in the United States appears to be an understudied problem with research literature limited to a few services and rates of overuse varying widely, according to a new article.

The overuse of health care services in the United States appears to be an understudied problem with research literature limited to a few services and rates of overuse varying widely, according to an article published in the January 23 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

Related Articles


This article is part of the journal's Less is More series.

Overuse of medical services (those services with no benefit or where the harm outweighs the benefit) can contribute to high health care costs, with some estimates attributing as much as 30 percent of U.S. health care spending to overuse, the authors write in the study background.

"An understanding of the prevalence of overuse of health care services across the U.S. health system is needed to improve health care quality and eliminate waste," the authors note.

Deborah Korenstein, M.D., of the Mount Sinai School of Medicine in New York, and colleagues reviewed medical literature for studies of overuse of therapeutic procedures, diagnostic tests and medications in the U.S. They identified 172 articles measuring overuse (53 on therapeutic procedures, 38 on diagnostic tests and 81 on medications).

The majority of the studies focused on four interventions: antibiotics for upper respiratory tract infections (URI) and three cardiovascular procedures. The researchers note rates of overuse varied among studies and the services studied.

Researchers suggest some overuse has declined over time, including rates for inappropriate carotid endarterectomy (CEA, a procedure to remove carotid artery plaque). They also note that inappropriate antibiotic use for viral URI has generally persisted despite universally accepted guidelines and other interventions, but it appears to have declined over time.

However, the authors note the limited literature on overuse is understandable because of the challenges of developing standards to measure overuse.

"Expanding the evidence base and establishing appropriateness criteria for a broader range of services could help target and eliminate overuse in health care services, which could reduce health care spending without adversely affecting the health of the public," the authors conclude.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. D. Korenstein, R. Falk, E. A. Howell, T. Bishop, S. Keyhani. Overuse of Health Care Services in the United States: An Understudied Problem. Archives of Internal Medicine, 2012; 172 (2): 171 DOI: 10.1001/archinternmed.2011.772

Cite This Page:

JAMA and Archives Journals. "Study examines research on overuse of health care services." ScienceDaily. ScienceDaily, 23 January 2012. <www.sciencedaily.com/releases/2012/01/120123163354.htm>.
JAMA and Archives Journals. (2012, January 23). Study examines research on overuse of health care services. ScienceDaily. Retrieved January 30, 2015 from www.sciencedaily.com/releases/2012/01/120123163354.htm
JAMA and Archives Journals. "Study examines research on overuse of health care services." ScienceDaily. www.sciencedaily.com/releases/2012/01/120123163354.htm (accessed January 30, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Friday, January 30, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Oxfam Calls for Massive Aid for Ebola-Hit West Africa

Oxfam Calls for Massive Aid for Ebola-Hit West Africa

AFP (Jan. 29, 2015) Oxfam International has called for a multi-million dollar post-Ebola "Marshall Plan", with financial support given by wealthy countries, to help Guinea, Sierra Leone and Liberia to recover. Duration: 01:10 Video provided by AFP
Powered by NewsLook.com
Are We Winning The Fight Against Ebola?

Are We Winning The Fight Against Ebola?

Newsy (Jan. 29, 2015) The World Health Organization announced the fight against Ebola has entered its second phase as the number of cases per week has steadily dropped. Video provided by Newsy
Powered by NewsLook.com
Calif. Health Officials Campaign Against E-Cigarettes

Calif. Health Officials Campaign Against E-Cigarettes

Newsy (Jan. 29, 2015) The California Health Department says e-cigarettes are a public health risk for both smokers and those who inhale e-cig smoke secondhand. Video provided by Newsy
Powered by NewsLook.com
Measles Scare Sends 66 Calif. Students Home

Measles Scare Sends 66 Calif. Students Home

AP (Jan. 29, 2015) Officials say 66 students at a Southern California high school have been told to stay home through the end of next week because they may have been exposed to measles and are not vaccinated. (Jan. 29) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins