Alyna T. Chien, MD, MS; Meredith B. Rosenthal, PhD
Potential Conflicts of Interest: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-2866.
Requests for Single Reprints: Alyna T. Chien, MD, MS, Assistant Professor of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115-5737; e-mail, email@example.com.
Current Author Addresses: Dr. Chien: Assistant Professor of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115-5737.
Dr. Rosenthal: Professor of Health Economics and Policy, Department of Health Policy and Management, 677 Huntington Avenue, Kresge Building Room 405, Boston, MA 02115.
Chien A., Rosenthal M.; Waste Not, Want Not: Promoting Efficient Use of Health Care Resources. Ann Intern Med. 2013;158:67-68. doi: 10.7326/0003-4819-158-1-201301010-00014
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Published: Ann Intern Med. 2013;158(1):67-68.
The pressure to control health care costs in the United States is at an all-time high. In the governmental sector, Medicare and Medicaid consume approximately one quarter of the federal budget and are growing more rapidly than revenues; the commercial sector is no different (1). Despite these exceptional levels of health care spending, Americans do not live any longer or better than their counterparts in other industrialized countries (2). Indeed, many experts believe that a significant proportion (as much as 30%) of the excess health care spending in the United States generates little or no health benefit. These facts and the growing urgency of calls to reduce the federal budget deficit have energized efforts to reform health care delivery and increase the value of health care (that is, reduce spending, increase quality, or both).
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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