Abstract:
:Landmark reports from reputable sources have concluded that the United States wastes hundreds of billions of dollars every year on medical care that does not improve health outcomes. While there is widespread agreement over how wasteful medical care spending is defined, there is no consensus on its magnitude or categories. A shared understanding of the magnitude and components of the issue may aid in systematically reducing wasteful spending and creating opportunities for these funds to improve public health.To this end, we performed a review and crosswalk analysis of the literature to retrieve comprehensive estimates of wasteful medical care spending. We abstracted each source's definitions, categories of waste, and associated dollar amounts. We synthesized and reclassified waste into 6 categories: clinical inefficiencies, missed prevention opportunities, overuse, administrative waste, excessive prices, and fraud and abuse.Aggregate estimates of waste varied from $600 billion to more than $1.9 trillion per year, or roughly $1800 to $5700 per person per year. Wider recognition by public health stakeholders of the human and economic costs of medical waste has the potential to catalyze health system transformation.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Speer M,McCullough JM,Fielding JE,Faustino E,Teutsch SMdoi
10.2105/AJPH.2020.305865subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1743-1748issue
12eissn
0090-0036issn
1541-0048journal_volume
110pub_type
杂志文章abstract:OBJECTIVES:To assess the relationship between health care system and economic factors and early childhood caries (ECC) data availability and prevalence. METHODS:We estimated ECC data for 193 United Nations countries from studies published between 2007 and 2017. We obtained other variables from the World Health Organiz...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304466
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVES:We modeled triple trajectories of tobacco, alcohol, and marijuana use from adolescence to adulthood as predictors of antisocial personality disorder (ASPD) and generalized anxiety disorder (GAD). METHODS:We assessed urban African American and Puerto Rican participants (n = 816) in the Harlem Longitudinal De...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301880
更新日期:2014-08-01 00:00:00
abstract::Of the 47 states that participated in a 1983 survey of State Health Departments, 30 were found to have public health standards in place or started. Most states' standards emphasize the range of services to be provided, but substantial variations were found in how standards are formulated, adopted, and used by state an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.6.649
更新日期:1985-06-01 00:00:00
abstract::Vital statistics show that a rise in incidence of endometrial cancer began in the mid-1960s on the West Coast of the United States. This rise was continuous and reached a peak in 1975. Elsewhere, incidence rates for endometrial cancer rose during the 1970s. It now seems evident that much of the rise in all areas of th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.3.264
更新日期:1980-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2015.302942
更新日期:2016-01-01 00:00:00
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doi:10.2105/AJPH.2012.301031
更新日期:2013-06-01 00:00:00
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pub_type: 杂志文章
doi:10.2105/ajph.84.4.640
更新日期:1994-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302938
更新日期:2016-01-01 00:00:00
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pub_type: 杂志文章
doi:10.2105/ajph.71.6.620
更新日期:1981-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303718
更新日期:2017-06-01 00:00:00
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pub_type: 杂志文章
doi:10.2105/ajph.98.supplement_1.s89
更新日期:2008-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.120469
更新日期:2008-05-01 00:00:00
abstract::Infectious diseases are responsible for approximately 25% of global mortality, especially in children aged younger than 5 years. Much of the burden of infectious diseases could be alleviated if appropriate mechanisms could be put in place to ensure access for all children to basic vaccines, regardless of geographical ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.94.11.1931
更新日期:2004-11-01 00:00:00
abstract::Data System. The Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing state-based surveillance system of maternal behaviors, attitudes, and experiences before, during, and shortly after pregnancy. PRAMS is conducted by the Centers for Disease Control and Prevention's Division of Reproductive Health in col...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304563
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES:We examined whether Supplemental Nutrition Assistance Program (SNAP) participation changes associations between food insecurity, dietary quality, and weight among US adults. METHODS:We analyzed adult dietary intake data (n = 8333) from the 2003 to 2010 National Health and Nutrition Examination Survey. Bivar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302580
更新日期:2015-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.719
更新日期:1991-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303373
更新日期:2016-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.078923
更新日期:2007-02-01 00:00:00
abstract::We performed a serosurvey of 133 embalmers in an urban area where human immunodeficiency virus (HIV) infection is prevalent. Although we found histories of needlesticks to be common, and the seropositivity rate of hepatitis B virus (HBV) (13%) was approximately twice that of a blood donor comparison group, HIV antibod...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.10.1425
更新日期:1989-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2015-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
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pub_type: 杂志文章
doi:10.2105/ajph.79.9.1239
更新日期:1989-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.11.1312
更新日期:1986-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,评审
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更新日期:1982-06-01 00:00:00
abstract:OBJECTIVES:We assessed whether New York City's gun-related homicide rates in the 1990s were associated with a range of social determinants of homicide rates. METHODS:We used cross-sectional time-series data for 74 New York City police precincts from 1990 through 1999, and we estimated Bayesian hierarchical models with...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.158238
更新日期:2010-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300628
更新日期:2012-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.9.1559
更新日期:2003-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122382
更新日期:2008-12-01 00:00:00