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Related Experiment Videos

Cost containment and the physician.

M Angell

    JAMA
    |September 6, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Reducing healthcare costs requires focusing on unnecessary medical care, not rationing beneficial treatments. Curtailing tests and procedures lacking demonstrated benefit is key to effective cost containment.

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    Area of Science:

    • Health Economics
    • Medical Ethics
    • Healthcare Policy

    Background:

    • Rising healthcare expenditures are a significant concern.
    • Current proposals include rationing expensive medical technologies and increasing preventive care.
    • Preventive care may not reduce overall costs due to potentially expensive later-life medical events.

    Purpose of the Study:

    • To identify a primary driver of escalating medical costs.
    • To propose alternative strategies for healthcare cost containment.
    • To advocate for evidence-based resource allocation in medicine.

    Main Methods:

    • Analysis of the impact of unnecessary medical tests and procedures on healthcare spending.
    • Critique of current cost-containment strategies like rationing and preventive care.
    Keywords:
    Health Care and Public Health

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  • Recommendations for policy and practice changes.

    • Main Results:

    • A major contributor to rising healthcare costs is the application of tests and procedures without demonstrated benefit, which may also be harmful.
    • Rationing beneficial technologies is not the optimal approach to cost containment.
    • Systematic assessment of medical technologies and practices is needed.

    Conclusions:

    • Efforts to contain healthcare costs should prioritize identifying and reducing unnecessary medical care.
    • Revising fee schedules and discouraging defensive medicine are crucial steps.
    • Physician involvement in rationing is premature and conflicts with patient advocacy.