Setting a research agenda for medical overuse

Daniel J Morgan¹, Shannon Brownlee², Aaron L Leppin³, Nancy Kressin⁴, Sanket S Dhruva⁵, Les Levin⁶, Bruce E Landon⁷, Mark A Zezza⁸, Harald Schmidt⁹, Vikas Saini¹⁰, Adam G Elshaug¹¹

Affiliations

¹ Epidemiology, and Public Health, Veterans Affairs Maryland Healthcare System, University of Maryland School of Medicine, 685 W Baltimore St, Baltimore, MD 21201, USA.
² Lown Institute, Dartmouth School of Medicine, Boston, MA, USA.
³ Knowledge and Evaluation Research Unit, Mayo Clinic, MN, USA.
⁴ Boston VA and Boston University, Boston, MA, USA.
⁵ Yale University and New Haven VA, New Haven, CT, USA.
⁶ University of Toronto, Toronto, Ontario, Canada.
⁷ Department of Health Care Policy, Beth Israel Deaconess Medical Center, Boston, MA, USA.
⁸ Lewin Group's Federal Health And Human Services Practice, Washington, DC, USA.
⁹ Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, PA, USA.
¹⁰ Lown Institute, Harvard Medical School, Brookline, MA, USA.
¹¹ Menzies Centre for Health Policy, Sydney School of Public Health, University of Sydney, Australia Lown Institute, Sydney, Australia.

PMID: 26306661
PMCID: PMC4563792
DOI: 10.1136/bmj.h4534

Setting a research agenda for medical overuse

Daniel J Morgan et al. BMJ. 2015.

. 2015 Aug 25:351:h4534.

doi: 10.1136/bmj.h4534.

Authors

Affiliations

¹ Epidemiology, and Public Health, Veterans Affairs Maryland Healthcare System, University of Maryland School of Medicine, 685 W Baltimore St, Baltimore, MD 21201, USA.
² Lown Institute, Dartmouth School of Medicine, Boston, MA, USA.
³ Knowledge and Evaluation Research Unit, Mayo Clinic, MN, USA.
⁴ Boston VA and Boston University, Boston, MA, USA.
⁵ Yale University and New Haven VA, New Haven, CT, USA.
⁶ University of Toronto, Toronto, Ontario, Canada.
⁷ Department of Health Care Policy, Beth Israel Deaconess Medical Center, Boston, MA, USA.
⁸ Lewin Group's Federal Health And Human Services Practice, Washington, DC, USA.
⁹ Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, PA, USA.
¹⁰ Lown Institute, Harvard Medical School, Brookline, MA, USA.
¹¹ Menzies Centre for Health Policy, Sydney School of Public Health, University of Sydney, Australia Lown Institute, Sydney, Australia.

PMID: 26306661
PMCID: PMC4563792
DOI: 10.1136/bmj.h4534

Abstract

Although overuse in medicine is gaining increased attention, many questions remain unanswered. Dan Morgan and colleagues propose an agenda for coordinated research to improve our understanding of the problem

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Figures

None — **Fig 1** Relation between overdiagnosis, overtreatment, and overuse

See this image and copyright information in PMC

References

1. Deyo RA, Patrick DL. Hope or hype: the obsession with medical advances and the high cost of false promises. AMACOM, American Management Association, 2005.
1. Welch HG, Schwartz L, Woloshin S. Overdiagnosed: Making people sick in the pursuit of health. Beacon Press, 2012.
1. Kale MS, Bishop TF, Federman AD, Keyhani S. Trends in the overuse of ambulatory health care services in the United States. JAMA Intern Med 2013;173:142-8. - PMC - PubMed
1. Brownlee S. Overtreated: why too much medicine is making us sicker and poorer. Bloomsbury, 2008.
1. Wennberg JE, Fisher ES, Skinner JS. Geography and the debate over Medicare reform. Health Aff (Millwood) 2002;(suppl):w96-114. - PubMed

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Setting a research agenda for medical overuse

Affiliations

Setting a research agenda for medical overuse

Authors

Affiliations

Abstract

Figures

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Miscellaneous