2023-09-28 14:46:10 +00:00
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abstract: 'Underuse-the failure to use effective and affordable medical
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interventions-is common and responsible for substantial suffering,
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disability, and loss of life worldwide. Underuse occurs at every point
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along the treatment continuum, from populations lacking access to health
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care to inadequate supply of medical resources and labour, slow or
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partial uptake of innovations, and patients not accessing or declining
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them. The extent of underuse for different interventions varies by
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country, and is documented in countries of high, middle, and low-income,
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and across different types of health-care systems, payment models, and
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health services. Most research into underuse has focused on measuring
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solutions to the problem, with considerably less attention paid to its
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global prevalence or its consequences for patients and populations.
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Although focused effort and resources can overcome specific underuse
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problems, comparatively little is spent on work to better understand and
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overcome the barriers to improved uptake of effective interventions, and
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methods to make them affordable.'
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affiliation: 'Glasziou, P (Corresponding Author), Bond Univ, Ctr Res Evidence Based
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Practice, Gold Coast, Qld 4229, Australia.
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Glasziou, Paul, Bond Univ, Ctr Res Evidence Based Practice, Robina, Qld, Australia.
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Straus, Sharon, Univ Toronto, St Michaels Hosp, Li Ka Shing Knowledge Inst, Dept
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Med, Toronto, ON, Canada.
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Brownlee, Shannon; Saini, Vikas, Lown Inst, Brookline, MA USA.
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Trevena, Lyndal, Univ Sydney, Sch Publ Hlth, Discipline Gen Practice, Sydney, NSW,
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Australia.
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Elshaug, Adam G., Univ Sydney, Sch Publ Hlth, Menzies Ctr Hlth Policy, Sydney, NSW,
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Australia.
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Dans, Leonila, Univ Philippines Manila, Manila, Philippines.
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Guyatt, Gordon, McMaster Univ, Dept Clin Epidemiol \& Biostat, Hamilton, ON, Canada.
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Janett, Robert, Harvard Clin \& Translat Sci Ctr, Boston, MA USA.'
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author: Glasziou, Paul and Straus, Sharon and Brownlee, Shannon and Trevena, Lyndal
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and Dans, Leonila and Guyatt, Gordon and Elshaug, Adam G. and Janett, Robert and
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Saini, Vikas
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author-email: paul\_glasziou@bond.edu.au
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author_list:
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- family: Glasziou
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given: Paul
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- family: Straus
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given: Sharon
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- family: Brownlee
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given: Shannon
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- family: Trevena
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given: Lyndal
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- family: Dans
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given: Leonila
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- family: Guyatt
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given: Gordon
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- family: Elshaug
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given: Adam G.
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- family: Janett
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given: Robert
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- family: Saini
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given: Vikas
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da: '2023-09-28'
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doi: 10.1016/S0140-6736(16)30946-1
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eissn: 1474-547X
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files: []
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issn: 0140-6736
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journal: LANCET
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keywords-plus: 'MIDDLE-INCOME COUNTRIES; ATRIAL-FIBRILLATION; CARE; GUIDELINES;
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MORTALITY; QUALITY; INTERVENTION; PREVENTION; STRATEGY; DELIVERY'
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language: English
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month: JUL 8
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number: '10090'
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number-of-cited-references: '56'
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orcid-numbers: 'Glasziou, Paul/0000-0001-7564-073X
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Elshaug, Adam/0000-0002-4939-5379'
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pages: 169-177
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papis_id: 3996895aca1b7ffd14bdff7c6140197e
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ref: Glasziou2017evidenceunderuse
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researcherid-numbers: 'Elshaug, Adam G/A-5714-2008
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Glasziou, Paul/A-7832-2008
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'
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times-cited: '131'
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title: Evidence for underuse of effective medical services around the world
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000404976600034
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usage-count-last-180-days: '2'
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usage-count-since-2013: '21'
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volume: '390'
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web-of-science-categories: Medicine, General \& Internal
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year: '2017'
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