Testing Cascades—A Call to Move From Descriptive Research to Deimplementation Science

Jama Jornal Abstract Image

Timothy S. Anderson and Grace A. Lin
JAMA Intern Med. Published online June 8, 2020.

Over the past decade, attention to overuse of testing has steadily grown, reflected by the addition of low-value care, Choosing Wisely, less is more, and cost-conscious care to the medical vernacular. Despite widespread recognition of this issue, there has been little evidence of large-scale changes in testing practices in the US. There may be many barriers to reducing overuse, including a fee-for-service payment model that disincentivizes physicians and health systems from reducing use of revenue-generating tests, a belief that more testing is beneficial, and framing of the issue as largely a problem of health care costs.

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