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Research Letter | Less Is More

Patient and Physician Attitudes Toward Low-Value Diagnostic Tests

A. Sofia Warner, BA1; Neel Shah, MD, MPP2; Abraham Morse, MD, MBA1; Eliyahu Y. Lehmann3; Rie Maurer, MA4; Zoe Moyer, BA3; Lisa Soleymani Lehmann, MD, PhD1
[+] Author Affiliations
1Harvard Medical School, Boston, Massachusetts
2Costs of Care, Inc, Boston, Massachusetts
3Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
4Harvard Catalyst | The Harvard Clinical and Translational Science Center, Boston, Massachusetts
JAMA Intern Med. 2016;176(8):1219-1221. doi:10.1001/jamainternmed.2016.2936.
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This study examines patient and clinician perceptions of high-value care and its association with unnecessary interventions.

Many American physicians think unnecessary tests and procedures are a serious problem facing our health care system, but 53% order unnecessary tests if requested by patients.1 This discrepancy between appropriate and actual care suggests that patients’ perceptions of good care are not aligned with physicians’ commitment to care that optimizes quality while reducing unnecessary interventions. We assessed patients’ and physicians’ perceptions of high-value care.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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