Evidence for overuse of medical services around the world

Overuse, which is defined as the provision of medical services that are more likely to cause harm than good, is a pervasive problem. Direct measurement of overuse through documentation of delivery of inappropriate services is challenging given the difficulty of defining appropriate care for patients...

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Vydáno v:The Lancet (British edition) Ročník 390; číslo 10090; s. 156 - 168
Hlavní autoři: Brownlee, Shannon, Chalkidou, Kalipso, Doust, Jenny, Elshaug, Adam G, Glasziou, Paul, Heath, Iona, Nagpal, Somil, Saini, Vikas, Srivastava, Divya, Chalmers, Kelsey, Korenstein, Deborah
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Elsevier Ltd 08.07.2017
Elsevier B.V
Elsevier Limited
Témata:
Antibiotics
Cancer
Diagnostic Tests, Routine - statistics & numerical data
Diarrhea
Drug Utilization - statistics & numerical data
Evidence-Based Medicine
Geographical variations
Global Health - statistics & numerical data
Health care
Health care access
Health care policy
Health services
Health Services Misuse - statistics & numerical data
Health Services Misuse - trends
Health Services Research
Health services utilization
High income
Humans
Hysterectomy
Income
Internal Medicine
Low income areas
Mass Screening - statistics & numerical data
Medical imaging
Patients
Public health
Social behavior
Terminology as Topic
Australia
United Kingdom
United States > US
Brazil
Italy
Spain
India
ISSN:0140-6736, 1474-547X, 1474-547X
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Shrnutí:Overuse, which is defined as the provision of medical services that are more likely to cause harm than good, is a pervasive problem. Direct measurement of overuse through documentation of delivery of inappropriate services is challenging given the difficulty of defining appropriate care for patients with individual preferences and needs; overuse can also be measured indirectly through examination of unwarranted geographical variations in prevalence of procedures and care intensity. Despite the challenges, the high prevalence of overuse is well documented in high-income countries across a wide range of services and is increasingly recognised in low-income countries. Overuse of unneeded services can harm patients physically and psychologically, and can harm health systems by wasting resources and deflecting investments in both public health and social spending, which is known to contribute to health. Although harms from overuse have not been well quantified and trends have not been well described, overuse is likely to be increasing worldwide.
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ISSN:0140-6736
1474-547X
1474-547X
DOI:10.1016/S0140-6736(16)32585-5