Nancy E. Morden, MD, MPH

Electronic health records data can accurately quantify overuse of clinical services and the risk factors that may trigger low-value testing and screening.

The authors surveyed physicians regarding “Choosing Wisely” and hypothesized drivers of overuse, finding high reported prevalence of hypothesized drivers of overuse and widespread support for cost-consciousness.

Many primary care physicians in the United States reported providing unnecessary medical care in response to patient requests; several factors predicted this behavior.

Payment reform may be used to better align appropriate financial incentives with better quality of care.