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Editorial
Less Is More
October 2016

Lipid Screening in ChildrenLow-Value Care

Author Affiliations
  • 1Department of Pediatrics, University of California, San Francisco
  • 2Department of Epidemiology and Biostatistics, University of California, San Francisco
  • 3Department of Pediatrics, Stanford University, Stanford, California
  • 4Department of Medicine, University of California, San Francisco
JAMA Intern Med. 2016;176(10):1437-1438. doi:10.1001/jamainternmed.2016.5114

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.

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