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LESS IS MORE
Less Is MoreHow Less Health Care Can Result in Better Health
Deborah Grady, MD, MPH;
Rita F. Redberg, MD, MSc, Editor
Arch Intern Med. 2010;170(9):749-750.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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If some medical care is good, more care is better. Right? Unfortunately, this is often not the case. Across the United States, the rate of use of common medical services varies markedly, but measures of health are not better in areas where more services are provided.1 In fact, the opposite is true—some measures of health are worse in areas where people receive more health services.2
How can more health care lead to worse health outcomes? Almost all tests, imaging procedures, drugs, surgery, and preventive interventions have some risk of adverse effects. In some cases, these harms have been proven to outweigh benefits—for example, treating asymptomatic women with postmenopausal hormone therapy.3 In other cases, services become widely used with inadequate proof of benefit. For example, arthroscopic debridement of the knee for treatment of osteoarthritis was performed about 650 000 times per year . . . [Full Text of this Article]
AUTHOR INFORMATION
Author Affiliations: Department of Medicine (Dr Grady) and School of Medicine (Dr Redberg), University of California, San Francisco, and General Internal Medicine Section, San Francisco Veterans Affairs Medical Center (Dr Grady), San Francisco.
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