As the US health care system continues to produce enormous expenditures and suboptimal health outcomes, the subject of value—most often defined as health outcomes improved per unit cost—has taken center stage. Tackling major public health concerns such as climate change, poverty, obesity, and gun violence is likely to yield high-value solutions, and many advocate policy and community-level interventions that might achieve such solutions. Meanwhile, other segments of our health care establishment continue to try to solve health problems by doubling down on individual-level health care solutions that tend to be low in value. Lipid screening in children has been a clear example.
Newman TB, Schroeder AR, Pletcher MJ. Lipid Screening in ChildrenLow-Value Care. JAMA Intern Med. 2016;176(10):1437-1438. doi:10.1001/jamainternmed.2016.5114