abstract: 'Underuse-the failure to use effective and affordable medical

  interventions-is common and responsible for substantial suffering,

  disability, and loss of life worldwide. Underuse occurs at every point

  along the treatment continuum, from populations lacking access to health

  care to inadequate supply of medical resources and labour, slow or

  partial uptake of innovations, and patients not accessing or declining

  them. The extent of underuse for different interventions varies by

  country, and is documented in countries of high, middle, and low-income,

  and across different types of health-care systems, payment models, and

  health services. Most research into underuse has focused on measuring

  solutions to the problem, with considerably less attention paid to its

  global prevalence or its consequences for patients and populations.

  Although focused effort and resources can overcome specific underuse

  problems, comparatively little is spent on work to better understand and

  overcome the barriers to improved uptake of effective interventions, and

  methods to make them affordable.'
affiliation: 'Glasziou, P (Corresponding Author), Bond Univ, Ctr Res Evidence Based
  Practice, Gold Coast, Qld 4229, Australia.

  Glasziou, Paul, Bond Univ, Ctr Res Evidence Based Practice, Robina, Qld, Australia.

  Straus, Sharon, Univ Toronto, St Michaels Hosp, Li Ka Shing Knowledge Inst, Dept
  Med, Toronto, ON, Canada.

  Brownlee, Shannon; Saini, Vikas, Lown Inst, Brookline, MA USA.

  Trevena, Lyndal, Univ Sydney, Sch Publ Hlth, Discipline Gen Practice, Sydney, NSW,
  Australia.

  Elshaug, Adam G., Univ Sydney, Sch Publ Hlth, Menzies Ctr Hlth Policy, Sydney, NSW,
  Australia.

  Dans, Leonila, Univ Philippines Manila, Manila, Philippines.

  Guyatt, Gordon, McMaster Univ, Dept Clin Epidemiol \& Biostat, Hamilton, ON, Canada.

  Janett, Robert, Harvard Clin \& Translat Sci Ctr, Boston, MA USA.'
author: Glasziou, Paul and Straus, Sharon and Brownlee, Shannon and Trevena, Lyndal
  and Dans, Leonila and Guyatt, Gordon and Elshaug, Adam G. and Janett, Robert and
  Saini, Vikas
author-email: paul\_glasziou@bond.edu.au
author_list:
- family: Glasziou
  given: Paul
- family: Straus
  given: Sharon
- family: Brownlee
  given: Shannon
- family: Trevena
  given: Lyndal
- family: Dans
  given: Leonila
- family: Guyatt
  given: Gordon
- family: Elshaug
  given: Adam G.
- family: Janett
  given: Robert
- family: Saini
  given: Vikas
da: '2023-09-28'
doi: 10.1016/S0140-6736(16)30946-1
eissn: 1474-547X
files: []
issn: 0140-6736
journal: LANCET
keywords-plus: 'MIDDLE-INCOME COUNTRIES; ATRIAL-FIBRILLATION; CARE; GUIDELINES;

  MORTALITY; QUALITY; INTERVENTION; PREVENTION; STRATEGY; DELIVERY'
language: English
month: JUL 8
number: '10090'
number-of-cited-references: '56'
orcid-numbers: 'Glasziou, Paul/0000-0001-7564-073X

  Elshaug, Adam/0000-0002-4939-5379'
pages: 169-177
papis_id: 3996895aca1b7ffd14bdff7c6140197e
ref: Glasziou2017evidenceunderuse
researcherid-numbers: 'Elshaug, Adam G/A-5714-2008

  Glasziou, Paul/A-7832-2008

  '
times-cited: '131'
title: Evidence for underuse of effective medical services around the world
type: Article
unique-id: WOS:000404976600034
usage-count-last-180-days: '2'
usage-count-since-2013: '21'
volume: '390'
web-of-science-categories: Medicine, General \& Internal
year: '2017'