July 1, 2009

Exploring the Harmful Effects of Health Care

Author Affiliations

Author Affiliations: The Trust for Healthcare Excellence and GreenField Health, Portland, Oregon (Dr Kilo); and Group Health Center for Health Studies, Seattle, Washington (Dr Larson).

JAMA. 2009;302(1):89-91. doi:10.1001/jama.2009.957

While various forms of harm resulting from health care are well known, the full nature of such harm and the magnitude of health care's aggregate adverse health effects deserve more exploration. On balance, the data remain imprecise, and the benefits that US health care currently deliver may not outweigh the aggregate health harm it imparts. In this Commentary, we discuss potential harms from health care, suggest a taxonomy for health care harm, and suggest that investigators start addressing this issue.

First Page Preview View Large
First page PDF preview
First page PDF preview