Low-value Care

Evaluation of Hospital Cesarean Delivery–Related Profits and Rates in the United States

Abstract: This cross-sectional study of discharge data from a national database of US hospitals examines the association of profits hospitals received from cesarean procedures and rates of cesarean delivery.

Publication: JAMA Open

Date Published: March 19, 2021

Author(s): Rie Sakai-Bizmark, MD, MPH, PhD; Michael G. Ross, MD, MPH; Dennys Estevez, MPH; Lauren E. M. Bedel, MPH; Emily H. Marr, PhD and Yusuke Tsugawa, MD, PhD

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To eliminate medication overload, serious cultural, educational, and policy changes are needed. This action plan offers recommendations for policymakers, health care institutions, clinicians, and patients across five key categories to reduce harm from multiple medication use. Suggested Citation: Eliminating medication overload: A national action plan. Working Group on Medication Overload. Brookline, MA: The Lown Institute, 2020. DOI: https://doi.org/10.46241/LI.YLBW4885

Pharmaceutical marketing is a significant factor in the growing public health crisis of medication overload, which puts millions of older adults at risk of preventable harm and premature death. This issue brief provides recommendations to reduce pharmaceutical industry influence by limiting pharma sales rep visits to clinicians and direct-to-consumer advertising.

This issue brief provides recommendations for clinical practice guidelines and electronic health records that would give clinicians the information they need to appropriately prescribe and deprescribe.