[La...] Posted May 16, 2018 Share Posted May 16, 2018 The full title of this Dutch study is "Limit, lean or listen? A typology of low-value care that gives direction in de-implementation". Excerpt: "Results: The type ineffective care is proven ineffective, such as antibiotics for a viral infection. Inefficient care is in essence effective, but is of low-value through inefficient provision or inappropriate intensity, such as chronic benzodiazepine use. Unwanted care is in essence appropriate for the clinical condition it targets, but is low-value since it does not fit the patients' preferences, such as a treatment aimed to cure a patient that prefers palliative care. In this paper, we argue that these three types differ in their most promising strategy for de-implementation and that our typology gives direction in choosing whether to limit, lean or listen." Abstract: https://www.ncbi.nlm.nih.gov/pubmed/29741672 Full Study: https://academic.oup.com/intqhc/advance-article/doi/10.1093/intqhc/mzy100/4993353 Link to comment Share on other sites More sharing options...
[Te...] Posted May 16, 2018 Share Posted May 16, 2018 Thank you for posting this, Lapis! I think this is especially true in the U.S., where doctors are so afraid of malpractice suits that they offer all kinds of treatment, some far too excessive. I don't know what can be done about this, but the first way of combating something is recognizing that it exists, which is what this paper is doing. Link to comment Share on other sites More sharing options...
[La...] Posted May 16, 2018 Author Share Posted May 16, 2018 There is a program called "Choosing Wisely", and I believe it exists in other countries as well. It's aimed at reducing unnecessary tests and procedures. I'm not sure what the outcomes are like, but the idea is fantastic. I found a few links: https://choosingwiselycanada.org/ http://www.choosingwisely.org/resources/updates-from-the-field/choosing-wisely-around-the-world/ Link to comment Share on other sites More sharing options...
[Te...] Posted May 16, 2018 Share Posted May 16, 2018 Oh, thank you for these links, Lapis! I'm glad to see that the U.S. is also following this. It seems that it's going around the world, so that's good! Link to comment Share on other sites More sharing options...
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