Older Adults’ Perceptions of Overuse
Perceptions of Health Care Overuse Among Older US Adults: Results of a National Survey
Overuse of health care, defined as the use of tests and treatments that are unlikely to improve outcomes and can lead to unnecessary harms, is common among older adults.1 Previous interventions to reduce overuse have had limited success,2 partly because many clinicians believe that patients feel more health care is usually better and do not perceive overuse as prevalent. For example, 7 in 10 US primary care physicians feel that patient requests for tests and treatments are a major barrier to reducing overuse.3 However, little is known about patient perceptions of overuse, or how these perceptions may differ across patients. The objectives of our study were to measure perceptions of health care overuse among older US adults and to identify characteristics associated with these perceptions.
In October 2017, we conducted a nationally representative internet survey using GfK...
KEY WORDSaging consumer health health services research patient engagement survey research
The authors thank Erica Solway, PhD, MSW, MPH of the University of Michigan Institute for Healthcare Policy and Innovation for feedback on this manuscript, for which she was not compensated beyond her usual salary.
The study was funded by Michigan Medicine and AARP, neither of which had any role in study design; collection, analysis, or interpretation of the data; and the decision to approve publication. Support was also provided by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development (HSR&D) Service. Dr. Kullgren is a VA HSR&D Career Development awardee (CDA 13-267) at the Ann Arbor VA.
Compliance with Ethical Standards
Conflict of Interest
Dr. Kullgren has received consulting fees from SeeChange Health and HealthMine, and honoraria from AbilTo, Inc., the Robert Wood Johnson Foundation, the American Diabetes Association, and the Kansas City Area Life Sciences Institute. Dr. Kerr is on the clinical advisory board for BIND Health Insurance. All other authors declare no conflicts of interest.
The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the US government.
- 3.Zikmund-Fisher BJ, Kullgren JT, Fagerlin A, Klamerus ML, Bernstein SJ, Kerr EA. Perceived Barriers to Implementing Individual Choosing Wisely® Recommendations in Two National Surveys of Primary Care Providers. J Gen Intern Med. 2017;32(2):210-217. doi: https://doi.org/10.1007/s11606-016-3853-5 CrossRefPubMedGoogle Scholar
- 5.Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. 9th Edition. The American Association f or Public Opinion Research; 2016. http://www.aapor.org/AAPOR_Main/media/publications/Standard-Definitions20169theditionfinal.pdf. Accessed 22 Oct 2019