Medical societies and other organizations have worked for many years to develop quality measures to assess underuse of beneficial health care services (eg, failure to use antiplatelet therapy for patients with acute myocardial infarction). More recently, organizations have begun efforts to address unnecessary tests and treatments and the high costs of health care by developing “overuse” measures (eTable).1- 4 Overuse is defined as the use of a service that is unlikely to improve patient outcomes or for which potential harms exceed likely benefits.5
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