Navigation Links
Bad medicine
Date:7/5/2009

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
Kim.Walgraeve@GreenFieldHealth.com
503-442-0328
Group Health Cooperative Center for Health Studies
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... ProVest Insurance Group, a family ... and Raleigh regions, is organizing an extended charity drive to benefit the family ... abnormality. , After struggling since birth with several health challenges, T.J. was later ...
(Date:10/13/2017)... Pekin, IL (PRWEB) , ... October 13, 2017 ... ... Foundation, which established the certification process to promote standards of excellence for the ... iaedp™ Symposium, scheduled for March 22 – 25, 2018 in Orlando, Florida at ...
(Date:10/13/2017)... ... October 13, 2017 , ... Many families have long-term insurance ... care insurance companies have a waiver for care if the client has a cognitive ... the family pays for care, is often waived, so the benefits from their insurance ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, actor ... on sciatica in a new episode of "Success Files," which is an award-winning ... innovation and investigates each subject in-depth with passion and integrity. , Sciatica occurs ...
(Date:10/12/2017)... CA (PRWEB) , ... October 12, 2017 , ... ... Cheng, are now treating sleep apnea using cutting-edge Oventus O2Vent technology. ... a serious sleep disorder characterized by frequent cessation in breathing. Oral appliances can ...
Breaking Medicine News(10 mins):
(Date:10/4/2017)... Oct. 4, 2017  South Korean-based healthcare product Development ... aide "cprCUBE" on Kickstarter. The device will educate the ... arrests with better efficiency compared to the dated and ... feedback on efficacy of the compression for a more ... a goal to raise $5,000. ...
(Date:10/4/2017)... 4, 2017 OBP Medical , ... medical devices, today announced regulatory approval from ... (or Agência Nacional de Vigilância Sanitária (ANVISA)) to ... surgical retractor with integrated LED light source and ... and exposure of a tissue pocket or cavity ...
(Date:10/2/2017)... Oct. 2, 2017  Eli Lilly and Company (NYSE: ... for the third quarter of 2017 on Tuesday, October ... on that day with the investment community and media ... The conference call will begin at 9 a.m. Eastern ... a live webcast of the conference call through a ...
Breaking Medicine Technology: