Overtreatment in the United States
Publication Date
September 06, 2017
Authors
Heather Lyu, Tim Xu, Daniel Brotman, Brandan Mayer Blackwell, et al
Volume
12
Issue
9
Pages
e0181970
DOI
https://dx.plos.org/10.1371/journal.pone.0181970
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0181970
Scopus
85028955254
Mendeley
http://www.mendeley.com/research/overtreatment-united-states
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{"title"=>"Overtreatment in the United States", "type"=>"journal", "authors"=>[{"first_name"=>"Heather", "last_name"=>"Lyu", "scopus_author_id"=>"55206575300"}, {"first_name"=>"Tim", "last_name"=>"Xu", "scopus_author_id"=>"56650442800"}, {"first_name"=>"Daniel", "last_name"=>"Brotman", "scopus_author_id"=>"7004189042"}, {"first_name"=>"Brandan", "last_name"=>"Mayer-Blackwell", "scopus_author_id"=>"55308067700"}, {"first_name"=>"Michol", "last_name"=>"Cooper", "scopus_author_id"=>"55469575000"}, {"first_name"=>"Michael", "last_name"=>"Daniel", "scopus_author_id"=>"56966165300"}, {"first_name"=>"Elizabeth C.", "last_name"=>"Wick", "scopus_author_id"=>"8274627700"}, {"first_name"=>"Vikas", "last_name"=>"Saini", "scopus_author_id"=>"56800185600"}, {"first_name"=>"Shannon", "last_name"=>"Brownlee", "scopus_author_id"=>"7004064728"}, {"first_name"=>"Martin A.", "last_name"=>"Makary", "scopus_author_id"=>"6603537780"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-85028955254", "sgr"=>"85028955254", "pui"=>"618200743", "isbn"=>"1111111111", "pmid"=>"28877170", "doi"=>"10.1371/journal.pone.0181970"}, "id"=>"0aa89ee7-51a3-3adb-b6f0-0a004ee3c61d", "abstract"=>"Background Overtreatment is a cause of preventable harm and waste in health care. Little is known about clinician perspectives on the problem. In this study, physicians were surveyed on the prevalence, causes, and implications of overtreatment. Methods 2,106 physicians from an online community composed of doctors from the American Medi- cal Association (AMA) masterfile participated in a survey. The survey inquired about the extent of overutilization, as well as causes, solutions, and implications for health care. Main outcome measures included: percentage of unnecessary medical care, most commonly cited reasons of overtreatment, potential solutions, and responses regarding association of profit and overtreatment. Findings The response rate was 70.1%. Physicians reported that an interpolated median of 20.6% of overall medical care was unnecessary, including 22.0% of prescription medications, 24.9% of tests, and 11.1% of procedures. The most common cited reasons for overtreatment were fear of malpractice (84.7%), patient pressure/request (59.0%), and difficulty accessing medical records (38.2%). Potential solutions identified were training residents on appropriateness cri- teria (55.2%), easy access to outside health records (52.0%), and more practice guidelines (51.5%). Most respondents (70.8%) believed that physicians are more likely to perform unnec- essary procedures when they profit from them. Most respondents believed that de-emphasiz- ing fee-for-service physician compensation would reduce health care utilization and costs. Conclusion From the physician perspective, overtreatment is common. Efforts to address the problem should consider the causes and solutions offered by physicians.", "link"=>"http://www.mendeley.com/research/overtreatment-united-states", "reader_count"=>55, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>3, "Librarian"=>1, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>6, "Student > Master"=>13, "Other"=>8, "Student > Bachelor"=>2, "Lecturer > Senior Lecturer"=>1, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>3, "Librarian"=>1, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>6, "Student > Master"=>13, "Other"=>8, "Student > Bachelor"=>2, "Lecturer > Senior Lecturer"=>1, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>6, "Nursing and Health Professions"=>7, "Biochemistry, Genetics and Molecular Biology"=>2, "Materials Science"=>1, "Medicine and Dentistry"=>28, "Agricultural and Biological Sciences"=>3, "Neuroscience"=>1, "Design"=>1, "Social Sciences"=>4, "Computer Science"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Design"=>{"Design"=>1}, "Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>28}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>4}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>7}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>6}}, "group_count"=>4}

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