City Health Information
November 2012 New York City Department of Health and Mental Hygiene Vol. 31(5):33-40
 

IN THIS ISSUE

Using Medical Resources Wisely
  • Unnecessary medical testing and intervention increase health care costs without improving patient care.

  • In April 2012, nine medical specialty boards issued evidence-based lists of tests and interventions that could be performed less often without compromising patient care.

  • Certain preventive medicine screenings and immunizations are underused and should be a routine part of patient care.

 

REFERENCES

1. Squires DA. The U.S. health system in perspective: a comparison of twelve industrialized nations. New York, NY: The Commonwealth Fund; July 2011. www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Jul/1532_Squires_US_hlt_sys_comparison_12_nations_ intl_brief_v2.pdf. Accessed June 12, 2012.
2. Crosson FJ. Change the microenvironment: delivery system reform essential to controlling costs. Modern Healthcare and the Commonwealth Fund. April 27, 2009. www.commonwealthfund.org/Content/Publications/Commentaries/2009/Apr/Change-the Microenvironment.aspx. Accessed June 12, 2012.
3. Cassel CK, Guest JA. Choosing wisely: helping physicians and patients make smart decisions about their health care. JAMA. 2012;307(17):1801-1802.
4. Fisher ES, Bynum JP, Skinner JS. Slowing the growth of health care costs--regional variation. N Engl J Med. 2009;360(9):849-852.
5. Choosing Wisely: Lists. ABIM Foundation: Philadelphia, PA; 2012. http://choosingwisely.org/?page_id=13. Accessed June 12, 2012.
6. Brody H. Medicine's ethical responsibility for health care reform--the top five list. N Engl J Med. 2010;362(4):283-285.
7. American Academy of Allergy, Asthma, & Immunology. Five Things Physicians and Patients Should Question. http://choosingwisely.org/wpcontent/uploads/2012/04/5things_12_factsheet_AAAAI.pdf. Accessed June 11, 2012.
8. American Academy of Family Physicians. Five Things Physicians and Patients Should Question. http://choosingwisely.org/wp-content/uploads/2012/04/5things_12_factsheet_Amer_Acad_Fam_Phys.pdf. Accessed June 11, 2012.
9. American College of Cardiology. Five Things Physicians and Patients Should Question. http://choosingwisely.org/wpcontent/uploads/2012/04/5things_12_factsheet_Amer_Coll_Cardio.pdf. Accessed June 11, 2012.
10. American College of Physicians. Five Things Physicians and Patients Should Question. http://choosingwisely.org/wpcontent/uploads/2012/04/5things_12_factsheet_Amer_College_Phys.pdf. Accessed June 11, 2012.
11. American Society of Nuclear Cardiology. Five Things Physicians and Patients Should Question. http://choosingwisely.org/wp-content/uploads/2012/04/5things_12_factsheet_Amer_Soc_Nuc_Cardio.pdf. Accessed June 11, 2012.
12. American College of Radiology. Five Things Physicians and Patients Should Question. http://choosingwisely.org/wp-content/uploads/2012/04/5things_12_factsheet_Amer_Coll_Radiology.pdf. Accessed June 11, 2012.
13. American Gastroenterological Association. Five Things Physicians and Patients Should Question. http://choosingwisely.org/wp-content/uploads/2012/04/5things_12_factsheet_AGA.pdf. Accessed June 11, 2012.
14. US Preventive Services Task Force. Screening for Osteoporosis. www.uspreventiveservicestaskforce.org/uspstf10/osteoporosis/osteors.htm. Accessed June 12, 2012.
15. American Society of Nephrology. Five Things Physicians and Patients Should Question. http://choosingwisely.org/wp-content/uploads/2012/04/5things_12_factsheet_Amer_Soc_Neph.pdf. Accessed June 11, 2012.
16. American Society of Clinical Oncology. Five Things Physicians and Patients Should Question. http://choosingwisely.org/wp-content/uploads/2012/04/5things_12_factsheet_Amer_Soc_Clin_Onc.pdf. Accessed June 12, 2012.
17. US Food and Drug Administration. FDA Drug Safety Communication: Possible increased risk of fractures of the hip, wrist, and spine with the use of proton pump inhibitors. Updated March 23, 2011. www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm213206.htm. Accessed September 12, 2012.
18. US Food and Drug Administration. FDA Drug Safety Communication: Low magnesium levels can be associated with long-term use of Proton Pump Inhibitor Drugs (PPIs). Published March 2, 2011. www.fda.gov/drugs/drugsafety/ucm245011.htm. Accessed September 12, 2012.