ArticleAmerican journal of public health2020
Excess Medical Care Spending: The Categories, Magnitude, and Opportunity Costs of Wasteful Spending in the United States.
Article in American journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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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
16 citing papers in PubMed.
- Interruptive Electronic Alerts for Choosing Wisely Recommendations: A Cluster Randomized Controlled Trial.Journal of the American Medical Informatics Association : JAMIA · 2022Trial
- Incidence and mortality trends after introduction of lung cancer screening in a community-based healthcare system.Cancer epidemiology · 2026Article
- TSH Receptor Antibody Test Utilization Patterns From a National Reference Laboratory: TRAb, TSI, or Both?The Journal of clinical endocrinology and metabolism · 2025Article
- It's the Healthcare Production Function Dummy… (And Still the Prices Stupid)!Health services research · 2025Article
- Addressing the overuse-underuse paradox in healthcare.Medicine, health care, and philosophy · 2025Article
- Speaking Truth to Power: Making Optimal Health a Top National Priority.American journal of public health · 2025Article
- Racial and Ethnic Differences in Low-Value Care Among Older Adults in a Large Statewide Health System.Journal of the American Geriatrics Society · 2025Article
- Harnessing the Power of Complementarity Between Smart Tracking Technology and Associated Health Information Technologies: Longitudinal Study.JMIR formative research · 2024Article
- The paradox of convenience: how information overload in mHealth apps leads to medical service overuse.Frontiers in public health · 2024Article
- Explaining the challenges of resources management and its underlying factors in COVID-19 era in Iran: a qualitative study.BMC public health · 2023Article
- Association of Inappropriate Outpatient Pediatric Antibiotic Prescriptions With Adverse Drug Events and Health Care Expenditures.JAMA network open · 2022Article
- 2020 inAmerican journal of public health · 2021Article
- Teutsch et al. Respond.American journal of public health · 2021Article
- Health Care Waste and Climate Change.American journal of public health · 2021Article
- Excess Medical Spending From the Minnesota Perspective.American journal of public health · 2021Article
- Reduction in US Health Care Spending Required to Meet the Institute of Medicine's 2030 Target.American journal of public health · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.