Most studies measure overuse of antibiotics for upper respiratory infections, coronary artery bypass grafting, coronary angiography and carotid endarterectomy, said the authors, who reviewed data from more than 170 articles on the use of tests, procedures and medications. Research has been mostly confined to those 4 areas because there are clear parameters for judging appropriateness of care, they added.
“The limited overuse literature is understandable given the challenges of developing standards to measure overuse,” the authors wrote.
The authors emphasized the need for better guidelines on a wider range of healthcare interventions as a way to boost research on overuse, particularly in areas such as preventive diagnostic services.
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Despite concerns about the high cost and inefficiency associated with the overuse of healthcare, research is limited and often addresses only a few medical interventions, according to an article published in the Archives of Internal Medicine.Source: Modern Healthcare
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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