TY - JOUR
T1 - Reducing Low-Value Care
T2 - Uncertainty as Crucial Cross-Cutting Theme Comment on “Key Factors That Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands”
AU - van Bodegom-Vos, Leti
AU - Marang-Van de Mheen, Perla
PY - 2022
Y1 - 2022
N2 - Low-value care is increasingly recognized as a global problem that places strain on healthcare systems and has no quick fix. Verkerk et al have identified key factors promoting low-value care on a national level, proposed strategies to address these and create a healthcare system facilitating delivery of high-value care. In this commentary, we reflect on the results of Verkerk et al and argue that uncertainty has a crucial role when it comes to reducing low-value care. This uncertainty is reflected in lack of a shared view between stakeholders, with clear criteria and thresholds on what constitutes low-value care, and as cross-cutting theme related to the key factors identified. We suggest to work on such a shared view of low-value care and – different from implementation efforts – to explicitly address uncertainty and its driving cognitive biases grounded in human decision-making psychology, to reduce low-value care.
AB - Low-value care is increasingly recognized as a global problem that places strain on healthcare systems and has no quick fix. Verkerk et al have identified key factors promoting low-value care on a national level, proposed strategies to address these and create a healthcare system facilitating delivery of high-value care. In this commentary, we reflect on the results of Verkerk et al and argue that uncertainty has a crucial role when it comes to reducing low-value care. This uncertainty is reflected in lack of a shared view between stakeholders, with clear criteria and thresholds on what constitutes low-value care, and as cross-cutting theme related to the key factors identified. We suggest to work on such a shared view of low-value care and – different from implementation efforts – to explicitly address uncertainty and its driving cognitive biases grounded in human decision-making psychology, to reduce low-value care.
KW - De-Implementation
KW - Low-Value Care
KW - Medical Overuse
UR - http://www.scopus.com/inward/record.url?scp=85139044153&partnerID=8YFLogxK
U2 - 10.34172/IJHPM.2022.7027
DO - 10.34172/IJHPM.2022.7027
M3 - Editorial
AN - SCOPUS:85139044153
SN - 2322-5939
VL - 11
SP - 1964
EP - 1966
JO - International Journal of Health Policy and Management
JF - International Journal of Health Policy and Management
IS - 9
ER -