How to reduce overuse in healthcare : A practical guide /
edited by Tijn Kool, Andrea M. Patey, Simone van Dulmen, Jeremy M. Grimshaw.
Bok · Engelsk · 2024
| Omfang | 228 s.
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| Utgave | First edition.
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| Opplysninger | Why should we reduce medical overuse? -- Why does overuse exist? -- Why is it so hard to change behaviour and how can we influence it? -- How can we reduce overuse : the choosing wisely de-implementation framework? -- How can you engage patients in de-implementation activities? -- Identifying potential areas of low-value healthcare : phase 0 -- Measuring low-value care and choosing your local priority : phase 1 -- Identifying target behaviours and potential barriers to change : phase 2a -- Selecting de-implementation strategies and choosing interventions : phase 2b -- Evaluating de-implementation activities : phase 3 -- Preserving results and spreading interventions : phase 4 -- Training the next generation of healthcare providers to address overuse and avoid low-value care -- Examples from clinical practice -- Starting tomorrow.. - "Low-value care refers to care that is not proven to provide benefits to patients or where benefits are small in relation to its harms and costs compared to alternatives (including doing nothing) and do not address patients' preferences. Over the last two decades, we have seen increasing global recognition of the existence of low-value care and its negative consequences. These include (direct and indirect) patient harms, unnecessary workload for hard pressed healthcare professionals, wasted healthcare resources and negative impacts on the climate. Low-value care may relate to both overdiagnosis and overtreatment. We are faced with major challenges such as demographic changes in societies globally with an increase in the elderly who often require healthcare, advances in biomedical discoveries that offer new therapeutic opportunities (but nearly always at increased costs) and human health resources challenges. There is an urgent need to address these challenges to protect patients, healthcare professionals and systems, and the planet"--
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| ISBN | 9781119862727
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