|
Overtreatment
Unnecessary health care (overutilization, overuse, or overtreatment) is health care provided with a higher volume or cost than is appropriate. In the United States, where health care costs are the highest as a percentage of GDP, overuse was the predominant factor in its expense, accounting for about a third of its health care spending ($750 billion out of $2.6 trillion) in 2012. Factors that drive overuse include paying health professionals more to do more (fee-for-service), defensive medicine to protect against litigiousness, and insulation from price sensitivity in instances where the consumer is not the payer—the patient receives goods and services but insurance pays for them (whether public insurance, private, or both). Such factors leave many actors in the system (doctors, patients, pharmaceutical companies, device manufacturers) with inadequate incentive to restrain health care prices or overuse. This drives payers, such as national health insurance systems or the U.S. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Care Finance In The United States
Health care finance in the United States discusses how Americans obtain and pay for their healthcare, and why U.S. healthcare costs are the highest in the world based on various measures. It is possible to negotiate the price of the medical bills with the hospital billing department. Overview The American system is a mix of public and private insurance. The government provides insurance coverage for approximately 53 million elderly via Medicare, 62 million lower-income persons via Medicaid, and 15 million military veterans via the Veteran's Administration. About 178 million employed by companies receive subsidized health insurance through their employer, while 52 million other people directly purchase insurance either via the subsidized marketplace exchanges developed as part of the Affordable Care Act or directly from insurers. The private sector delivers healthcare services, with the exception of the Veteran's Administration, where doctors are employed by the government. The ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Defensive Medicine
Defensive medicine, also called defensive medical decision making, refers to the practice of recommending a diagnostic test or medical treatment that is not necessarily the best option for the patient, but mainly serves to protect the physician against the patient as potential plaintiff. Defensive medicine is a reaction to the rising costs of malpractice insurance premiums and patients’ biases on suing for missed or delayed diagnosis or treatment but not for being overdiagnosed. Physicians in the United States are at highest risk of being sued, and overtreatment is common. The number of lawsuits against physicians in the USA has had a substantial impact on the behavior of physicians and medical practice. Physicians order tests and avoid treating high-risk patients (when they have a choice) to reduce their exposure to lawsuits, or are forced to discontinue practicing because of overly high insurance premiums. This behavior has become known as defensive medicine, "a deviation from ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Overdiagnosis
Overdiagnosis is the diagnosis of disease that will never cause symptoms or death during a patient's ordinarily expected lifetime and thus presents no practical threat regardless of being pathologic. Overdiagnosis is a side effect of screening for early forms of disease. Although screening saves lives in some cases, in others it may turn people into patients unnecessarily and may lead to treatments that do no good and perhaps do harm. Given the tremendous variability that is normal in biology, it is inherent that the more one screens, the more incidental findings will generally be found. For a large percentage of them, the most appropriate medical response is to recognize them as something that does not require intervention; but determining which action a particular finding warrants ("ignoring", watchful waiting, or intervention) can be very difficult, whether because the differential diagnosis is uncertain or because the risk ratio is uncertain (risks posed by intervention, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Care
Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physical and mental impairments in people. Health care is delivered by health professionals and allied health professions, allied health fields. Medicine, dentistry, pharmacy, midwifery, nursing, optometry, audiology, psychology, occupational therapy, physical therapy, athletic training, and other health professions all constitute health care. The term includes work done in providing primary care, wikt:secondary care, secondary care, tertiary care, and public health. Access to health care may vary across countries, communities, and individuals, influenced by social and economic conditions and health policy, health policies. Providing health care services means "the timely use of personal health services to achieve the best possible health outcom ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Subjectivity
The distinction between subjectivity and objectivity is a basic idea of philosophy, particularly epistemology and metaphysics. Various understandings of this distinction have evolved through the work of countless philosophers over centuries. One basic distinction is: *Something is subjective if it is dependent on a mind (biases, perception, emotions, opinions, imagination, or conscious experience). Solomon, Robert C.br>"Subjectivity" in Honderich, Ted. '' Oxford Companion to Philosophy'' (Oxford University Press, 2005), p.900. If a claim is true exclusively when considering the claim from the viewpoint of a sentient being, it is subjectively true. For example, one person may consider the weather to be pleasantly warm, and another person may consider the same weather to be too hot; both views are subjective. *Something is objective if it can be confirmed independently of a mind. If a claim is true even when considering it outside the viewpoint of a sentient being, then it may be lab ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Institute Of Medicine
The National Academy of Medicine (NAM), known as the Institute of Medicine (IoM) until 2015, is an American nonprofit, non-governmental organization. The National Academy of Medicine is a part of the National Academies of Sciences, Engineering, and Medicine, along with the National Academy of Sciences (NAS), National Academy of Engineering (NAE), and the National Academies of Sciences, Engineering, and Medicine (NASEM). Operating outside the framework of the U.S. federal government, it relies on a volunteer workforce of scientists and other experts, operating under a formal peer-review system. As a national academy, the organization annually elects new members with the help of its current members; the election is based on the members' distinguished and continuing achievements in a relevant field as well as for their willingness to participate actively. History The institute was founded in 1970, under the congressional charter of the National Academy of Sciences as the Instit ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Choosing Wisely
Choosing Wisely is a United States–based health educational campaign, led by the ABIM Foundation (American Board of Internal Medicine), about unnecessary health care. The campaign identifies over 500 tests and procedures and encourages doctors and patients to discuss, research, and possibly get second opinions, before proceeding with them. To conduct the campaign, the ABIM Foundation asks Specialty (medicine), medical specialty societies to make five to ten recommendations for preventing overuse of a treatment in their field. The foundation then publicizes this information, and the medical specialty societies disseminate it to their members. The campaign has garnered both praise and criticism, and some of its ideas have spread to other countries. It does not include evaluation of its effects on costs, on discussions or on medical outcomes. Some doctors have said they lack time for the recommended discussions. History In 2002 the ABIM Foundation published ''Medical professiona ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
The New York Times
''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of the longest-running newspapers in the United States, the ''Times'' serves as one of the country's Newspaper of record, newspapers of record. , ''The New York Times'' had 9.13 million total and 8.83 million online subscribers, both by significant margins the List of newspapers in the United States, highest numbers for any newspaper in the United States; the total also included 296,330 print subscribers, making the ''Times'' the second-largest newspaper by print circulation in the United States, following ''The Wall Street Journal'', also based in New York City. ''The New York Times'' is published by the New York Times Company; since 1896, the company has been chaired by the Ochs-Sulzberger family, whose current chairman and the paper's publ ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
RAND Corporation
The RAND Corporation, doing business as RAND, is an American nonprofit global policy think tank, research institute, and public sector consulting firm. RAND engages in research and development (R&D) in several fields and industries. Since the 1950s, RAND research has helped inform United States policy decisions on a wide variety of issues, including the Cold War space race, the U.S. involvement in the Vietnam War, the U.S.–Soviet nuclear arms confrontation, the creation of the Great Society social welfare programs, and national health care. RAND originated as "Project RAND" (from the phrase "research and development") in the post-war period immediately after World War II. The U.S. Army Air Forces established Project RAND with the objective of investigating long-range planning of future weapons. Douglas Aircraft Company was granted a contract to research intercontinental warfare. Project RAND later evolved into RAND, and expanded its research into civilian fields suc ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thérèse Stukel
Thérèse A. Stukel is a Canadian statistician who works as a senior core scientist at the Institute for Clinical Evaluative Sciences, as a professor in the Institute of Health Policy, Management and Evaluation of the University of Toronto, and as an adjunct professor of epidemiology and of The Dartmouth Institute for Health Policy and Clinical Practice at Dartmouth College. Topics in her research include surgical mortality, the effects of regional variations in healthcare spending, and heart-related health care. Stukel studied mathematics at the University of Ottawa, graduating in 1973. and earned a maîtrise (one-year master's degree) in applied mathematics from the University of Grenoble in 1974. After completing a diploma in advanced studies in statistics jointly from Pierre and Marie Curie University and Paris Dauphine University in 1975, she returned to Canada for a Ph.D. in statistics at the University of Toronto in 1983. Her dissertation, supervised by David F. Andrews ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ann Intern Med
''Annals of Internal Medicine'' is an academic medical journal published by the American College of Physicians (ACP). It is one of the most widely cited and influential specialty medical journals in the world. ''Annals'' publishes content relevant to the field of internal medicine and related sub-specialties. ''Annals'' publishes a wide variety of original research, review articles, practice guidelines, and commentary relevant to clinical practice, health care delivery, public health, health care policy, medical education, ethics, and research methodology. In addition, the journal publishes personal narratives that convey the feeling and the art of medicine. Selected articles in the journal are freely available; these include patient-oriented content and Clinical Guidelines (and related reviews). Impact factor The most recent (2023) Impact Factor for ''Annals of Internal Medicine'' is 19.6 (Clarivate Analytics). According to the new 2023 Journal Citations Reports from Clarivat ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Overconsumption
Overconsumption describes a situation where consumers overuse their available goods and services to where they can't, or don't want to, replenish or reuse them. In microeconomics, this is the point where the marginal cost of a consumer is greater than their marginal utility. The term overconsumption is quite controversial and does not necessarily have a single unifying definition. When used to refer to natural resources to the point where the Natural environment, environment is negatively affected, it is synonymous with the term overexploitation. However, when used in the broader economic sense, overconsumption can refer to all types of goods and services, including artificial ones, e.g., "the overconsumption of Alcoholic drink, alcohol can lead to alcohol poisoning." Overconsumption is driven by several factors of the current World economy, global economy, including forces like consumerism, planned obsolescence, economic materialism, and other unsustainable business models, and can ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
