{"id":"https://openalex.org/W2170479554","doi":"https://doi.org/10.1136/bmjqs.2010.049213","title":"Controlling healthcare costs by removing waste: what American doctors can do now","display_name":"Controlling healthcare costs by removing waste: what American doctors can do now","publication_year":2011,"publication_date":"2011-02-21","ids":{"openalex":"https://openalex.org/W2170479554","doi":"https://doi.org/10.1136/bmjqs.2010.049213","mag":"2170479554","pmid":"https://pubmed.ncbi.nlm.nih.gov/21339313"},"language":"en","primary_location":{"id":"doi:10.1136/bmjqs.2010.049213","doi":"https://doi.org/10.1136/bmjqs.2010.049213","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmjqs.2010.049213","pdf_url":null,"source":{"id":"https://openalex.org/S152101599","display_name":"BMJ Quality & Safety","issn_l":"1475-3898","issn":["1475-3898","1475-3901","2044-5415","2044-5423"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Quality &amp; Safety","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113532263","display_name":"Stephen J. Swensen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Stephen J Swensen","raw_affiliation_strings":["Mayo Clinic, Rochester, MN 55905, USA. swensen.stephen@mayo.edu","Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, MN 55905, USA. swensen.stephen@mayo.edu","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Gary S Kaplan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1317886745","display_name":"Virginia Mason Medical Center","ror":"https://ror.org/00cm2cb35","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1317886745","https://openalex.org/I2802797007","https://openalex.org/I4210118434"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gary S Kaplan","raw_affiliation_strings":["Virginia Mason Health System, Seattle, Washington, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Virginia Mason Health System, Seattle, Washington, USA","institution_ids":["https://openalex.org/I1317886745"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028309092","display_name":"Gregg S. Meyer","orcid":"https://orcid.org/0000-0001-9419-2100","observed_orcids":["https://orcid.org/0000-0001-9419-2100"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gregg S Meyer","raw_affiliation_strings":["Center for Quality and Safety, Massachusetts General Hospital and Massachusetts General Physicians Organization, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Quality and Safety, Massachusetts General Hospital and Massachusetts General Physicians Organization, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082275695","display_name":"Eugene C. Nelson","orcid":"https://orcid.org/0000-0002-7991-7836","observed_orcids":["https://orcid.org/0000-0002-7991-7836"]},"institutions":[{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eugene C Nelson","raw_affiliation_strings":["Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA","institution_ids":["https://openalex.org/I1289422878"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101555366","display_name":"Gordon C. Hunt","orcid":"https://orcid.org/0000-0002-3269-6220","observed_orcids":["https://orcid.org/0000-0002-3269-6220"]},"institutions":[{"id":"https://openalex.org/I114073160","display_name":"Sutter Health","ror":"https://ror.org/0060avh92","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I114073160"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gordon C Hunt","raw_affiliation_strings":["Sutter Health, Sacramento, California, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sutter Health, Sacramento, California, USA","institution_ids":["https://openalex.org/I114073160"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111229403","display_name":"D B Pryor","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1320343167","display_name":"Ascension","ror":"https://ror.org/00s1szh94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320343167"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David B Pryor","raw_affiliation_strings":["Ascension Health, St Louis, Missouri, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ascension Health, St Louis, Missouri, USA","institution_ids":["https://openalex.org/I1320343167"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111951370","display_name":"JED I. WEISSBERG","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1343052199","display_name":"Kaiser Permanente","ror":"https://ror.org/00t60zh31","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1343052199"]},{"id":"https://openalex.org/I2801936213","display_name":"Kaiser Permanente Oakland Medical Center","ror":"https://ror.org/05rfek682","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343052199","https://openalex.org/I2801936213"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jed I Weissberg","raw_affiliation_strings":["Quality and Care Delivery Excellence, Kaiser Permanente, Oakland, California, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Quality and Care Delivery Excellence, Kaiser Permanente, Oakland, California, USA","institution_ids":["https://openalex.org/I1343052199","https://openalex.org/I2801936213"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081317933","display_name":"Jennifer Daley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I166722992","display_name":"University of Massachusetts Chan Medical School","ror":"https://ror.org/0464eyp60","country_code":"US","type":"education","lineage":["https://openalex.org/I166722992"]},{"id":"https://openalex.org/I4210162397","display_name":"UMass Memorial Medical Center","ror":"https://ror.org/053v00853","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1303243448","https://openalex.org/I166722992","https://openalex.org/I4210162397"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer Daley","raw_affiliation_strings":["University of Massachusetts Memorial Medical Center and University of Massachusetts Medical School, Worcester, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Massachusetts Memorial Medical Center and University of Massachusetts Medical School, Worcester, Massachusetts, USA","institution_ids":["https://openalex.org/I166722992","https://openalex.org/I4210162397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111992521","display_name":"Gary R. Yates","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gary R Yates","raw_affiliation_strings":["Sentara Healthcare, Norfolk, Virginia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sentara Healthcare, Norfolk, Virginia, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040929557","display_name":"Mark R. Chassin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1320557632","display_name":"Joint Commission","ror":"https://ror.org/03skrcz21","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1320557632"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark R Chassin","raw_affiliation_strings":["The Joint Commission, Oakbrook Terrace, Illinois, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Joint Commission, Oakbrook Terrace, Illinois, USA","institution_ids":["https://openalex.org/I1320557632"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5113532263"],"corresponding_institution_ids":["https://openalex.org/I1330342723"],"apc_list":null,"apc_paid":null,"fwci":7.7132,"has_fulltext":false,"cited_by_count":44,"citation_normalized_percentile":{"value":0.96833576,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"20","issue":"6","first_page":"534","last_page":"537"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.9390000104904175},{"id":"https://openalex.org/keywords/waste-reduction","display_name":"waste reduction","score":0.7409999966621399},{"id":"https://openalex.org/keywords/health-care-overuse","display_name":"overuse of health care","score":0.8550000190734863},{"id":"https://openalex.org/keywords/preventable-complications","display_name":"preventable complications","score":0.9779999852180481},{"id":"https://openalex.org/keywords/rationing","display_name":"rationing","score":0.621999979019165},{"id":"https://openalex.org/keywords/cost-containment","display_name":"cost containment","score":0.44200000166893005}],"concepts":[{"id":"https://openalex.org/C2775994111","wikidata":"https://www.wikidata.org/wiki/Q843478","display_name":"Rationing","level":3,"score":0.7642485499382019},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.759247899055481},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6846808791160583},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.6646195650100708},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.4996907711029053},{"id":"https://openalex.org/C3017581826","wikidata":"https://www.wikidata.org/wiki/Q1077518","display_name":"Cost control","level":2,"score":0.4592762589454651},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.39835798740386963},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.38563424348831177},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.30339229106903076},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.2659577429294586},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.14176318049430847},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.07810667157173157},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003428","descriptor_name":"Cross Infection","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003428","descriptor_name":"Cross Infection","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006300","descriptor_name":"Health Services Misuse","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008508","descriptor_name":"Medication Errors","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D008508","descriptor_name":"Medication Errors","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1136/bmjqs.2010.049213","doi":"https://doi.org/10.1136/bmjqs.2010.049213","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmjqs.2010.049213","pdf_url":null,"source":{"id":"https://openalex.org/S152101599","display_name":"BMJ Quality & Safety","issn_l":"1475-3898","issn":["1475-3898","1475-3901","2044-5415","2044-5423"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Quality &amp; Safety","raw_type":"journal-article"},{"id":"pmid:21339313","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21339313","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ quality & safety","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.6019999980926514,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.5925999879837036,"display_name":"Responsible consumption and production","id":"https://metadata.un.org/sdg/12"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":37,"referenced_works":["https://openalex.org/W45999404","https://openalex.org/W79429584","https://openalex.org/W95343657","https://openalex.org/W996816137","https://openalex.org/W1973725681","https://openalex.org/W1983651487","https://openalex.org/W1999529880","https://openalex.org/W2006982272","https://openalex.org/W2010231465","https://openalex.org/W2012745284","https://openalex.org/W2020075522","https://openalex.org/W2021421933","https://openalex.org/W2025084502","https://openalex.org/W2030819835","https://openalex.org/W2031239432","https://openalex.org/W2053268472","https://openalex.org/W2059724197","https://openalex.org/W2060565181","https://openalex.org/W2065260789","https://openalex.org/W2070053562","https://openalex.org/W2084830212","https://openalex.org/W2085042508","https://openalex.org/W2095677445","https://openalex.org/W2096656874","https://openalex.org/W2100445448","https://openalex.org/W2105131328","https://openalex.org/W2115574045","https://openalex.org/W2120670202","https://openalex.org/W2126214830","https://openalex.org/W2152967756","https://openalex.org/W2166858912","https://openalex.org/W2620503899","https://openalex.org/W2754265708","https://openalex.org/W4237921798","https://openalex.org/W4244978678","https://openalex.org/W4254460683","https://openalex.org/W4293236771"],"related_works":["https://openalex.org/W2007174544","https://openalex.org/W2214190019","https://openalex.org/W1968670396","https://openalex.org/W2766179672","https://openalex.org/W1834594693","https://openalex.org/W2335695062","https://openalex.org/W2029728657","https://openalex.org/W2412650899","https://openalex.org/W2401374252","https://openalex.org/W2995945516"],"abstract_inverted_index":{"Healthcare":[0],"costs":[1,11],"are":[2],"unsustainable.":[3],"The":[4],"authors":[5],"propose":[6],"a":[7],"solution":[8],"to":[9,22],"control":[10],"without":[12],"rationing":[13],"(deliberate":[14],"withholding":[15],"of":[16,35],"effective":[17],"care)":[18],"or":[19],"payment":[20],"reductions":[21],"doctors":[23],"and":[24,41],"hospitals.":[25],"Three":[26],"physician-led":[27],"strategies":[28],"comprise":[29],"this":[30],"solution:":[31],"reduce":[32],"(1)":[33],"overuse":[34],"health":[36],"services,":[37],"(2)":[38],"preventable":[39],"complications":[40],"(3)":[42],"waste":[43],"within":[44],"healthcare":[45],"processes.":[46],"These":[47],"challenges":[48],"know":[49],"no":[50],"borders.":[51]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":6},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":8},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
