Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care; Comment on “Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands”
Low-value care drivers and interventions are often focused on a microsystem (eg, clinic or inpatient ward) or within a health system. Identification of national drivers such as payment structure and medical culture of overuse can help identify regional approaches to reducing low-value care. However,...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2022-09-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_4296_87de3a99b632f364b7d5122bb1f97e78.pdf |
| _version_ | 1811158753855143936 |
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| author | Adina Weinerman Christine Soong |
| author_facet | Adina Weinerman Christine Soong |
| author_sort | Adina Weinerman |
| collection | DOAJ |
| description | Low-value care drivers and interventions are often focused on a microsystem (eg, clinic or inpatient ward) or within a health system. Identification of national drivers such as payment structure and medical culture of overuse can help identify regional approaches to reducing low-value care. However, these approaches in isolation are insufficient and require additional strategies. These can include policy and payment changes and adopting shared decision-making (SDM). SDM has the potential to move medical culture away from the ‘more is better’ paternalistic and physician-centric culture to one that actively engages patients as full partners in managing their care. |
| first_indexed | 2024-04-10T05:29:31Z |
| format | Article |
| id | doaj.art-d6e29001536245e08b553b7a1588a2aa |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:29:31Z |
| publishDate | 2022-09-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-d6e29001536245e08b553b7a1588a2aa2023-03-07T09:11:35ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392022-09-011191971197310.34172/ijhpm.2022.70774296Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care; Comment on “Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands”Adina Weinerman0Christine Soong1Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, CanadaDivision of General Internal Medicine, Sinai Health, Toronto, ON, CanadaLow-value care drivers and interventions are often focused on a microsystem (eg, clinic or inpatient ward) or within a health system. Identification of national drivers such as payment structure and medical culture of overuse can help identify regional approaches to reducing low-value care. However, these approaches in isolation are insufficient and require additional strategies. These can include policy and payment changes and adopting shared decision-making (SDM). SDM has the potential to move medical culture away from the ‘more is better’ paternalistic and physician-centric culture to one that actively engages patients as full partners in managing their care.https://www.ijhpm.com/article_4296_87de3a99b632f364b7d5122bb1f97e78.pdflow-value careoveruseshared decision-making |
| spellingShingle | Adina Weinerman Christine Soong Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care; Comment on “Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands” International Journal of Health Policy and Management low-value care overuse shared decision-making |
| title | Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care; Comment on “Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands” |
| title_full | Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care; Comment on “Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands” |
| title_fullStr | Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care; Comment on “Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands” |
| title_full_unstemmed | Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care; Comment on “Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands” |
| title_short | Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care; Comment on “Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands” |
| title_sort | beyond microsystem fixes targeting national drivers of low value care comment on key factors that promote low value care views of experts from the united states canada and the netherlands |
| topic | low-value care overuse shared decision-making |
| url | https://www.ijhpm.com/article_4296_87de3a99b632f364b7d5122bb1f97e78.pdf |
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