Navigation Links
Bad medicine

PORTLAND, Oregon--Are individuals, families, communities and employers getting their money's worth from US healthcare? That's the big question in the news today, pushed further into the spotlight by the Obama administration.

Charles M. Kilo, MD, MPH, CEO of GreenField Health in Portland, Oregon, and co-author Eric B. Larson, MD, MPH of Group Health Cooperative in Seattle, Washington, explore this important question in their article Exploring the Harmful Effects of Healthcare in the July 1 issue of the Journal of American Medical Association (JAMA).

In their commentary, Drs. Kilo and Larson distinguish health from healthcare. One can never have too much health, but with overuse of medicine, one can get so much healthcare that it causes harm. They look at the potential harms of healthcare, both direct and indirect, and suggest that investigators study health harm further. "Although healthcare's objective should be to improve health, its primary emphasis has been on producing services," they write. "Fee-for-service" payment encourages using more treatment, new technology, and extra testing. These additional services, and their attendant extra costs, may harm health.

Drs. Kilo and Larson lay out the aggregate collective harm that healthcare does to our communities. The cost pressure that healthcare places on employers, individuals and families has become so significant that they suggest that healthcare may well be inducing aggregate harm to the health of our communities when one considers the cost shift involved in funding healthcare.

In addition to direct harm from healthcare, which includes adverse physical and emotional effects, they address indirect harm from the collateral effect of the opportunity cost of healthcare spending. That means healthcare expenditures increasingly divert resources away from education, jobs, and environmental quality, all important determinants of health. They conclude that formally exploring health harm will allow a more explicit consideration of the tradeoffs involved in healthcare interventions and expenditures and will help guide healthcare reform efforts. They argue that although it is important to give more people access to healthcare, that is not enough. Healthcare reform should also improve how medicine is practiced: centering it on patients, organizing it around primary care, and curbing health harm, including excessive healthcare use and spending.


Contact: Kimberly Walgraeve
Group Health Cooperative Center for Health Studies

Related medicine news :

1. Annals of Internal Medicine tip sheet for Aug. 21, 2007, issue
2. Investigational Agent Targeting Metabotropic Glutamate 2/3 Receptors Demonstrates Antipsychotic Activity in Humans, Study in Nature Medicine Finds
3. FDA Seeks to Regulate Complementary and Alternative Medicine; Products Such as Vegetable Juice Could Be Restricted for Medical Use
4. £5 million investment in personalized medicines to cut patient deaths
5. The New England Journal of Medicine Publishes EURIDIS/ADONIS Study Results Showing Dronedarone Maintained Sinus Rhythm in Patients With Atrial Fibrillation or Flutter With no Observed Pro-Arrhythmia
6. Temple Emergency Medicine receives $1.8M to find best MRSA treatment
7. Medical, technological advances prompt updating of nuclear medicine technologists scope of practice
8. Nuclear medicine approach can be first choice for excluding pulmonary embolism in young women
9. University of Nevada School of Medicine Professor Confirms Accuracy Through Validation Study Using the CSI Health Station Model 6K
10. Boston University School of Medicine researcher recipient of Memory Ride Grant
11. John B. Buse, MD, PhD of Chapel Hill, NC, Elected American Diabetes Association President, Medicine & Science
Post Your Comments:
(Date:6/26/2016)... Charlotte, NC (PRWEB) , ... June 26, 2016 , ... Brent Kasmer, a legally blind ... able to be personalized through a fitness app. The fitness app plans to fix the ... solutions currently only offer a one size fits all type program , They ...
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery ... of Mohs Surgery and to Dr. Russell Peckham for medical and surgical dermatology. , ... for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... First ... United States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell ... facility Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... On Friday, ... presented a Bronze Wellness at Work award to iHire in recognition of their exemplary ... part of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI ...
(Date:6/24/2016)... Michigan (PRWEB) , ... June 24, 2016 , ... Those ... deal with these feelings, many turn to unhealthy avenues, such as drug or alcohol ... of Marne, Michigan, has released tools for healthy coping following a traumatic event. , ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... June 24, 2016  Collagen Matrix, Inc., ("Collagen ... and manufacturing of collagen and mineral based medical ... that Bill Messer has joined the ... further leverage the growing portfolio of oral surgery, ... Bill joins the Collagen Matrix executive team ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... and Markets has announced the addition of the ... their offering. ... products and provides an updated review, including its applications ... covering the total market, which includes three main industries: ...
(Date:6/24/2016)... BEIJING , June 24, 2016 Dehaier ... or the "Company"), which develops, markets and sells medical ... China , signed a strategic cooperation agreement with ... as "Hongyuan Supply Chain") on June 20, 2016, to ... Under the strategic cooperation agreement, Dehaier will leverage Hongyuan ...
Breaking Medicine Technology: