2018
DOI: 10.1186/s12913-018-3459-1
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Moving low value care lists into action: prioritizing candidate health technologies for reassessment using administrative data

Abstract: BackgroundActive management of existing health technologies (e.g., devices, diagnostic, and/or medical procedures) to ensure the delivery of high value care is increasingly recognized around the world. A number of initiatives have raised awareness of technologies that may be overused, mis-used, or potentially harmful by compiling them into lists of low value care. However, despite the growing number of lists, changes to local healthcare practices remain challenging for many systems. The objective of this study… Show more

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Cited by 13 publications
(21 citation statements)
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“…For example using pulse oximetry (a light-based system for measuring blood oxygenation) is considered to be better than observing the wounds or skin of the patient, although evidence for this is wanting (47,48). Although a great number of advanced technologies identified as low-value care are (26), and it counters our intuition that hi-tech services could be ineffective, inefficient, or even harmful. Such tendencies may undermine rational handling of technology in medicine and health care.…”
Section: Imperativesmentioning
confidence: 59%
See 2 more Smart Citations
“…For example using pulse oximetry (a light-based system for measuring blood oxygenation) is considered to be better than observing the wounds or skin of the patient, although evidence for this is wanting (47,48). Although a great number of advanced technologies identified as low-value care are (26), and it counters our intuition that hi-tech services could be ineffective, inefficient, or even harmful. Such tendencies may undermine rational handling of technology in medicine and health care.…”
Section: Imperativesmentioning
confidence: 59%
“…For example a lot of technologies may be used although they are of low-value (26), while new high-value technologies may not be implemented. Accordingly, the status quo bias may hamper rational handling of technology.…”
Section: Cognitive Biasesmentioning
confidence: 99%
See 1 more Smart Citation
“…For example, the results of the Choosing Wisely campaign are inconsistent; while significant reductions in some "Do not Do" practices have been achieved, there has been no change in the implementations of others by professionals [27,28]. These and other findings on the level of awareness of these recommendations among professionals [29][30][31] suggest that more effort is needed to make these "Do not Do" recommendations known (also including campaigns directed at patients). They also emphasize that it is necessary not only to identify and measure low-value practices, but also to establish how to convey these results to the professionals and specialists involved in headache.…”
Section: Discussionmentioning
confidence: 99%
“…Despite such laudable efforts, their effectiveness in delimiting medicine still appear modest. For example, the efforts to disinvest and decommission low-value care have been moderate or low (35)(36)(37)(38)(39).…”
Section: Harnessing Medicine Through Its Core Concept Diseasementioning
confidence: 99%