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Fair Resource Allocation and Rationing at the Bedside$
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Marion Danis, Samia A. Hurst, Len Fleck, Reidun Forde, and Anne Slowther

Print publication date: 2014

Print ISBN-13: 9780199989447

Published to Oxford Scholarship Online: November 2014

DOI: 10.1093/acprof:oso/9780199989447.001.0001

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Overdiagnosis and Overtreatment

Overdiagnosis and Overtreatment

Implications for Bedside Rationing

Chapter:
(p.204) 11 Overdiagnosis and Overtreatment
Source:
Fair Resource Allocation and Rationing at the Bedside
Author(s):

Howard Brody

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199989447.003.0011

This chapter argues that overdiagnosis and overtreatment account for such a large part of health care expenditures that physician attention to reducing such overuse might in and of itself provide a sufficient solution to the problem of unsustainable health care costs. Part and parcel of this view is the idea that the common assumption that there is a continuum of more and less efficient medical interventions is not accurate or useful. Rather, parsing out the ineffective from effective interventions and eliminating the former would suffice.

Keywords:   overdiagnosis, overtreatment, health care expenditures, health care costs, ineffective care, effective care

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