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".

Publisher: Kerman University of Medical Sciences Country of Publication: Iran NLM ID: 101619905 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2322-5939 (Electronic) Linking ISSN: 23225939 NLM ISO Abbreviation: Int J Health Policy Manag Subsets: MEDLINE

Original Publication: Kerman, Iran : Kerman University of Medical Sciences, [2013]-

Decision Making* ; Low-Value Care*; Humans ; United States ; Netherlands ; Patient Participation ; Canada

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.
(© 2022 The Author(s); Published by Kerman University of Medical Sciences This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.)

Comment on: Int J Health Policy Manag. 2022 Aug 1;11(8):1514-1521. (PMID: 34273925)

Keywords: Low-Value Care; Overuse; Shared Decision-Making

Date Created: 20220821 Date Completed: 20230816 Latest Revision: 20230919

20230919

PMC9808223

10.34172/ijhpm.2022.7077

35988027