Addressing overuse and underuse around the world
Date
2017
Authors
Saini, V.
Brownlee, S.
Elshaug, A.G.
Glasziou, P.
Heath, I.
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Journal article
Citation
The Lancet, 2017; 390(10090):105-107
Statement of Responsibility
Vikas Saini, Shannon Brownlee, Adam G Elshaug, Paul Glasziou, Iona Heath
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Abstract
The benefits of modern medical care have advanced the health of populations around the world, but with better health has come rising health-care spending. Not surprisingly, there is global interest in optimising the delivery of health services, exemplified by the universal health coverage (UHC) and waste in research campaigns.1, 2 Comparatively neglected is a central paradox that afflicts high-income countries (HICs) and low-income and middle-income countries (LMICs) alike: the failure to deliver needed services alongside the continuing delivery of unnecessary services. The Lancet Series on right care3, 4, 5, 6 aims to bring these two issues—overuse and underuse—to the centre of global health strategies (panel).
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© 2017 Elsevier Ltd. All rights reserved.