Reducing the need and demand for medical care: Implications for quality management and outcome improvement
Fries JF. Reducing the need and demand for medical care: Implications for quality management and outcome improvement. Quality Management in Health Care. 1997;6(1):34-44.
Reduction in medical need (illness burden) and demand (variability in resource use) can improve health, reduce medical care costs, and move us toward the goal of becoming a healthy society. Health promotion, redefined, works to enhance individual autonomy. The underlying conceptual bases and the abundant empiric documentation of the effectiveness of need and demand reduction are summarized here.
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