The survey asked doctors to identify two treatments frequently used by internists that were unlikely to provide high value care to patients. Value is not the same as cost, Qaseem said. High value is a function of the benefits, harms and cost of an intervention all together. Just because something is very expensive does not make it a poor value. There are expensive treatments that provide high value. Antibiotics were most commonly cited as being used under questionable circumstances, despite mounting concern regarding the rise of antibiotic-resistant superbugs. internetIn the United States, at least 2 million people a year are infected with bacteria that are resistant to antibiotics , and at least 23,000 die as a direct result of these infections, according to the U.S. Centers for Disease Control and Prevention. The CDC itself estimates that as much as one-half of antibiotic use in humans is either unnecessary or inappropriate. An estimated 47 million unnecessary antibiotic prescriptions are handed out in the United States each year, the agency said. Pressure to fulfill patients expectations might be driving some doctors to prescribe antibiotics, Qaseem said.
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