Strategic Purchasing as an Evidence-Based Approach for Reducing Medical Overuse
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Abstract
Overuse of healthcare services is an increasingly reported issue in health systems worldwide. Given the breadth and importance of the subject, identifying strategies/tools that can prevent medical overuse is beneficial. The authors of this article believe that strategic purchasing because of its high capabilities is one of the tools that can help avoid medical overuse. Also, strategic purchasing and capable government stewardship can lead to the optimal use of resources and the promotion of the right services. In general, and by expressing some of the strategic purchasing features that contrast with the drivers of overuse, it can be concluded that strategic purchasing can be used as a synergistic tool, along with other tools, to prevent and even reduce the overuse of healthcare services. In addition, strategic purchasing and capable government stewardship can lead to the optimal use of resources and the promotion of the right services.
2. Brownlee S, Chalkidou K, Doust J, Elshaug AG, Glasziou P, Heath I, et al. Evidence for overuse of medical services around the world. Lancet. 2017;390(10090):156-68. [PubMed ID:28077234]. [PubMed Central ID:PMC5708862]. https://doi.org/10.1016/S0140-6736(16)32585-5.
3. Murray CJ, Frenk J. A framework for assessing the performance of health systems. Bull World Health Organ. 2000;78(6):717-31.[PubMed ID:10916909]. [PubMed Central ID:PMC2560787].
4. Arab-Zozani M, Janati A, Zakaria Pezeshki M, Khodayari-Zarnaq R. Policy package for preventing overuse and underuse of healthcare services in the Iranian health care system: A study protocol. Med J Islam Repub Iran. 2019;33:86. [PubMed ID:31696080].[PubMed Central ID:PMC6825377]. https://doi.org/10.34171/mjiri.33.86.
5. Pezeshki MZ, Janati A, Arab-Zozani M. Medical Overuse in the Iranian Healthcare System: A Systematic Scoping Review and Practical Recommendations for Decreasing Medical Overuse During Unexpected COVID-19 Pandemic Opportunity. Risk Manag Healthc Policy. 2020;13:1103-10. [PubMed ID:32848487]. [PubMed Central ID:PMC7429239]. https://doi.org/10.2147/RMHP.S262908.
6. Arab-Zozani M, Pezeshki MZ, Khodayari-Zarnaq R, Janati A. Medical overuse in the Iranian healthcare system: a systematic review
protocol. BMJ Open. 2018;8(4):e020355. [PubMed ID:29666133]. [PubMed Central ID:PMC5905767]. https://doi.org/10.1136/bmjopen-2017-020355.
7. Carr AS, Smeltzer LR. An empirically based operational definition of strategic purchasing. Eur J Purch Supply Manag. 1997;3(4):199-207. https://doi.org/10.1016/s0969-7012(97)00014-2.
8. Nejad DG, Janati A, Arab-Zozani M. The neglected role of stewardship in strategic purchasing of health services: who should buy?East Mediterr Health J. 2019;24(11):1038-9. [PubMed ID:30701517]. https://doi.org/10.26719/2018.24.11.1038.
9. Ghoddoosi-Nejad D, Jannati A, Doshmangir L, Arab-Zozani M, Imani A. Stewardship as a Fundamental Challenge in Strategic Purchasing of Health Services: A Case Study of Iran. Value Health Reg Issues. 2019;18:54-8. [PubMed ID:30445336]. https://doi.org/10.1016/j.vhri.2018.06.005.
10. Ghoddousinejad J, Janati A, Arab-Zozani M, Imani A. Strategic purchasing in health system of Iran: A review study. Depict Health. 2018;8(4):260-6
| Files | ||
| Issue | Vol 7, No 2 (2023) | |
| Section | Letter | |
| DOI | https://doi.org/10.18502/htaa.v7i2.13817 | |
| Keywords | ||
| Medical Overuse Value-Based Purchasing Delivery of Health Care Strategic Purchasing | ||
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