Cochrane Sustainable Healthcare: evidence for action on too much medicine

evidence for action on too much medicine

Minna Johansson, Lisa Bero, Xavier Bonfill, Matteo Bruschettini, Sarah Garner, Claire Glenton, Russell Harris, Karsten Juhl Jørgensen, Wendy Levinson, Tamara Lotfi, Victor Montori, Dina Muscat Meng, Holger Schünemann, António Vaz Carneiro, Steven Woloshin, Ray Moynihan

Research output: Contribution to journalEditorialResearchpeer-review

Abstract

[Extract] Medical excess threatens the health of individuals and the sustainability of health systems. Unnecessary tests, treatments, and diagnoses bring direct harm to people through adverse effects of interventions, psychosocial impacts of labelling, and overwhelming burden of treatment. Overuse and overdiagnosis also consumes scarce resources, leading to underuse and underdiagnosis in other areas, which indirectly harms patients. As healthcare spending grows all over the world,[8] with poor correlation between increased costs and improved health in high‐income countries, there is growing recognition that much of that spending is unnecessary. Increased costs of healthcare also draws resources from other societal sectors capable of improving health and wellbeing for the population. By tackling the crisis of medical excess, we can reduce harm and prevent waste, making our health systems more sustainable and more beneficial for patients and societies.
Original languageEnglish
Article numberED000143
Number of pages3
JournalCochrane database of systematic reviews (Online)
Issue number12
DOIs
Publication statusPublished - 6 Dec 2019

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Medicine
Delivery of Health Care
Health
Health Care Costs
Patient Harm
Therapeutics
Population

Cite this

Johansson, Minna ; Bero, Lisa ; Bonfill, Xavier ; Bruschettini, Matteo ; Garner, Sarah ; Glenton, Claire ; Harris, Russell ; Jørgensen, Karsten Juhl ; Levinson, Wendy ; Lotfi, Tamara ; Montori, Victor ; Meng, Dina Muscat ; Schünemann, Holger ; Vaz Carneiro, António ; Woloshin, Steven ; Moynihan, Ray. / Cochrane Sustainable Healthcare: evidence for action on too much medicine : evidence for action on too much medicine. In: Cochrane database of systematic reviews (Online). 2019 ; No. 12.
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abstract = "[Extract] Medical excess threatens the health of individuals and the sustainability of health systems. Unnecessary tests, treatments, and diagnoses bring direct harm to people through adverse effects of interventions, psychosocial impacts of labelling, and overwhelming burden of treatment. Overuse and overdiagnosis also consumes scarce resources, leading to underuse and underdiagnosis in other areas, which indirectly harms patients. As healthcare spending grows all over the world,[8] with poor correlation between increased costs and improved health in high‐income countries, there is growing recognition that much of that spending is unnecessary. Increased costs of healthcare also draws resources from other societal sectors capable of improving health and wellbeing for the population. By tackling the crisis of medical excess, we can reduce harm and prevent waste, making our health systems more sustainable and more beneficial for patients and societies.",
author = "Minna Johansson and Lisa Bero and Xavier Bonfill and Matteo Bruschettini and Sarah Garner and Claire Glenton and Russell Harris and J{\o}rgensen, {Karsten Juhl} and Wendy Levinson and Tamara Lotfi and Victor Montori and Meng, {Dina Muscat} and Holger Sch{\"u}nemann and {Vaz Carneiro}, Ant{\'o}nio and Steven Woloshin and Ray Moynihan",
year = "2019",
month = "12",
day = "6",
doi = "10.1002/14651858.ED000143",
language = "English",
journal = "Cochrane database of systematic reviews (Online)",
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Johansson, M, Bero, L, Bonfill, X, Bruschettini, M, Garner, S, Glenton, C, Harris, R, Jørgensen, KJ, Levinson, W, Lotfi, T, Montori, V, Meng, DM, Schünemann, H, Vaz Carneiro, A, Woloshin, S & Moynihan, R 2019, 'Cochrane Sustainable Healthcare: evidence for action on too much medicine: evidence for action on too much medicine', Cochrane database of systematic reviews (Online), no. 12, ED000143. https://doi.org/10.1002/14651858.ED000143

Cochrane Sustainable Healthcare: evidence for action on too much medicine : evidence for action on too much medicine. / Johansson, Minna; Bero, Lisa; Bonfill, Xavier; Bruschettini, Matteo; Garner, Sarah; Glenton, Claire; Harris, Russell; Jørgensen, Karsten Juhl; Levinson, Wendy; Lotfi, Tamara; Montori, Victor; Meng, Dina Muscat; Schünemann, Holger; Vaz Carneiro, António; Woloshin, Steven; Moynihan, Ray.

In: Cochrane database of systematic reviews (Online), No. 12, ED000143, 06.12.2019.

Research output: Contribution to journalEditorialResearchpeer-review

TY - JOUR

T1 - Cochrane Sustainable Healthcare: evidence for action on too much medicine

T2 - evidence for action on too much medicine

AU - Johansson, Minna

AU - Bero, Lisa

AU - Bonfill, Xavier

AU - Bruschettini, Matteo

AU - Garner, Sarah

AU - Glenton, Claire

AU - Harris, Russell

AU - Jørgensen, Karsten Juhl

AU - Levinson, Wendy

AU - Lotfi, Tamara

AU - Montori, Victor

AU - Meng, Dina Muscat

AU - Schünemann, Holger

AU - Vaz Carneiro, António

AU - Woloshin, Steven

AU - Moynihan, Ray

PY - 2019/12/6

Y1 - 2019/12/6

N2 - [Extract] Medical excess threatens the health of individuals and the sustainability of health systems. Unnecessary tests, treatments, and diagnoses bring direct harm to people through adverse effects of interventions, psychosocial impacts of labelling, and overwhelming burden of treatment. Overuse and overdiagnosis also consumes scarce resources, leading to underuse and underdiagnosis in other areas, which indirectly harms patients. As healthcare spending grows all over the world,[8] with poor correlation between increased costs and improved health in high‐income countries, there is growing recognition that much of that spending is unnecessary. Increased costs of healthcare also draws resources from other societal sectors capable of improving health and wellbeing for the population. By tackling the crisis of medical excess, we can reduce harm and prevent waste, making our health systems more sustainable and more beneficial for patients and societies.

AB - [Extract] Medical excess threatens the health of individuals and the sustainability of health systems. Unnecessary tests, treatments, and diagnoses bring direct harm to people through adverse effects of interventions, psychosocial impacts of labelling, and overwhelming burden of treatment. Overuse and overdiagnosis also consumes scarce resources, leading to underuse and underdiagnosis in other areas, which indirectly harms patients. As healthcare spending grows all over the world,[8] with poor correlation between increased costs and improved health in high‐income countries, there is growing recognition that much of that spending is unnecessary. Increased costs of healthcare also draws resources from other societal sectors capable of improving health and wellbeing for the population. By tackling the crisis of medical excess, we can reduce harm and prevent waste, making our health systems more sustainable and more beneficial for patients and societies.

U2 - 10.1002/14651858.ED000143

DO - 10.1002/14651858.ED000143

M3 - Editorial

JO - Cochrane database of systematic reviews (Online)

JF - Cochrane database of systematic reviews (Online)

SN - 1469-493X

IS - 12

M1 - ED000143

ER -