ArticleJournal of general internal medicine2018
Regional Supply of Medical Resources and Systemic Overuse of Health Care Among Medicare Beneficiaries.
Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Supply of interventional cardiologists and the provision of lower-value Percutaneous Coronary Interventions (PCI).PloS one · 2026Article
- Impact of spatial accessibility to primary care physicians on health care outcomes and costs.International journal of health geographics · 2025Article
- A study on collaborative governance of excessive medical care based on three-way evolutionary game and simulation.Frontiers in public health · 2025Article
- Associations of care continuity and care coordination with the overuse of healthcare services: a nationwide population-based study.BMC health services research · 2024Article
- Upper Extremity Surgeon Recommendations for Imaging Do Not Correspond with Imaging Appropriateness Guidelines.Journal of hand and microsurgery · 2024Article
- The paradox of convenience: how information overload in mHealth apps leads to medical service overuse.Frontiers in public health · 2024Article
- Assessing patient, physician, and practice characteristics predicting the use of low-value services.Health services research · 2022Article
- Updating a Claims-Based Measure of Low-Value Services Applicable to Medicare Fee-for-Service Beneficiaries.Journal of general internal medicine · 2022Article
- Is Low-value Testing Before Low-risk Hand Surgery Associated With Increased Downstream Healthcare Use and Reimbursements? A National Claims Database Analysis.Clinical orthopaedics and related research · 2022Article
- Regional Inequalities and Influencing Factors of Residents' Health in China: Analysis from the Perspective of Opening-Up.International journal of environmental research and public health · 2022Article
- Regional variation in healthcare usage for Medicare beneficiaries: a cross-sectional study based on the health and retirement study.BMJ open · 2022Article
- Factors Associated With Overuse of Health Care Within US Health Systems: A Cross-sectional Analysis of Medicare Beneficiaries From 2016 to 2018.JAMA health forum · 2022Article
- Low-Value Care at the Actionable Level of Individual Health Systems.JAMA internal medicine · 2021Article
- Regional differences in PAP care: more questions than answers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- External Validation of and Factors Associated with the Overuse Index: a Nationwide Population-Based Study from Taiwan.Journal of general internal medicine · 2021Article
- Evaluation of Low-Value Diagnostic Testing for 4 Common Conditions in the Veterans Health Administration.JAMA network open · 2020Article
- The Effect of Large-scale Health Coverage Expansions in Wealthy Nations on Society-Wide Healthcare Utilization.Journal of general internal medicine · 2020Review
- Epidemiological trends of tracheal, bronchus, and lung cancer at the global, regional, and national levels: a population-based study.Journal of hematology & oncology · 2020Article
- Understanding Geographic Variation in Systemic Overuse Among the Privately Insured.Medical care · 2020Article
- 2019 Update on Medical Overuse: A Review.JAMA internal medicine · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundOveruse of health care resources has been identified as the leading contributor to waste in the US health care system.
objectiveTo explore health care system factors associated with regional variation in systemic overuse of health care resources as measured by the Johns Hopkins Overuse Index (JHOI) which aggregates systemic overuse of 20 health care services.
designUsing Medicare fee-for-service claims data from beneficiaries age 65 or over in 2008, we calculated the JHOI for the 306 hospital referral regions in the United States. We used ordinary least squares regression and multilevel models to estimate the association of JHOI scores and characteristics of regional health care delivery systems listed in the Area Health Resource File and Dartmouth Atlas. KEY
resultsRegions with a higher density of primary care physicians had lower JHOI scores, indicating less systemic overuse (P < 0.001). Regional characteristics associated with higher JHOI scores, indicating more systemic overuse, included number per 1000 residents of acute care hospital beds (P = 0.002) and of hospital-based anesthesiologists, pathologists, and radiologists (P = 0.02).
conclusionsRegional variations in health care resources including the clinician workforce are associated with the intensity of systemic overuse of health care. The role of primary care doctors in reducing health care overuse deserves further attention.
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