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Comment & Response
February 11, 2020

Supply Chain Optimization and Waste Reduction

Author Affiliations
  • 1Department of Pediatric Orthopaedics, Stanford University, Stanford, California
  • 2Division of Supply Chain Management, Stanford Healthcare, Stanford, California
JAMA. 2020;323(6):572-573. doi:10.1001/jama.2019.20854

To the Editor Drs Thiel and Horwitz described the importance of supply chain optimization to improve value in health care, focusing on medical waste minimization.1 Of particular interest was the discussion on physician variation in utilization. Studies have previously demonstrated that physician utilization is a major driver of low-value services: variability in utilization of surgical supplies can lead to 20-fold variation across cost categories for identical procedures.2,3

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