Appropriate use of screening and diagnostic tests to foster high-value, cost-conscious care

Amir Qaseem, Patrick Alguire, Paul Dallas, Lawrence E. Feinberg, Faith T. Fitzgerald, Carrie Horwitch, Linda Humphrey, Richard LeBlond, Darilyn Moyer, Jeffrey G. Wiese, Steven Weinberger

Research output: Contribution to journalArticle

165 Citations (Scopus)

Abstract

Unsustainable rising health care costs in the United States have made reducing costs while maintaining high-quality health care a national priority. The overuse of some screening and diagnostic tests is an important component of unnecessary health care costs. More judicious use of such tests will improve quality and reflect responsible awareness of costs. Efforts to control expenditures should focus not only on benefits, harms, and costs but on the value of diagnostic tests-meaning an assessment of whether a test provides health benefits that are worth its costs or harms. To begin to identify ways that practicing clinicians can contribute to the delivery of high-value, cost-conscious health care, the American College of Physicians convened a workgroup of physicians to identify, using a consensus-based process, common clinical situations in which screening and diagnostic tests are used in ways that do not reflect high-value care. The intent of this exercise is to promote thoughtful discussions about these tests and other health care interventions to promote high-value, cost-conscious care.

Original languageEnglish (US)
Pages (from-to)147-149
Number of pages3
JournalAnnals of Internal Medicine
Volume156
Issue number2
StatePublished - Jan 17 2012

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Routine Diagnostic Tests
Health Care Costs
Costs and Cost Analysis
Physicians
Quality of Health Care
Insurance Benefits
Health Expenditures
Cost-Benefit Analysis
Exercise
Delivery of Health Care

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Qaseem, A., Alguire, P., Dallas, P., Feinberg, L. E., Fitzgerald, F. T., Horwitch, C., ... Weinberger, S. (2012). Appropriate use of screening and diagnostic tests to foster high-value, cost-conscious care. Annals of Internal Medicine, 156(2), 147-149.

Appropriate use of screening and diagnostic tests to foster high-value, cost-conscious care. / Qaseem, Amir; Alguire, Patrick; Dallas, Paul; Feinberg, Lawrence E.; Fitzgerald, Faith T.; Horwitch, Carrie; Humphrey, Linda; LeBlond, Richard; Moyer, Darilyn; Wiese, Jeffrey G.; Weinberger, Steven.

In: Annals of Internal Medicine, Vol. 156, No. 2, 17.01.2012, p. 147-149.

Research output: Contribution to journalArticle

Qaseem, A, Alguire, P, Dallas, P, Feinberg, LE, Fitzgerald, FT, Horwitch, C, Humphrey, L, LeBlond, R, Moyer, D, Wiese, JG & Weinberger, S 2012, 'Appropriate use of screening and diagnostic tests to foster high-value, cost-conscious care', Annals of Internal Medicine, vol. 156, no. 2, pp. 147-149.
Qaseem A, Alguire P, Dallas P, Feinberg LE, Fitzgerald FT, Horwitch C et al. Appropriate use of screening and diagnostic tests to foster high-value, cost-conscious care. Annals of Internal Medicine. 2012 Jan 17;156(2):147-149.
Qaseem, Amir ; Alguire, Patrick ; Dallas, Paul ; Feinberg, Lawrence E. ; Fitzgerald, Faith T. ; Horwitch, Carrie ; Humphrey, Linda ; LeBlond, Richard ; Moyer, Darilyn ; Wiese, Jeffrey G. ; Weinberger, Steven. / Appropriate use of screening and diagnostic tests to foster high-value, cost-conscious care. In: Annals of Internal Medicine. 2012 ; Vol. 156, No. 2. pp. 147-149.
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