How to Reduce Overuse in Healthcare

A Practical Guide
Herausgegeben:Kool, Tijn; Patey, Andrea M.; van Dulmen, Simone; Grimshaw, Jeremy M.

• Broschiertes Buch

Produktbeschreibung

HOW TO REDUCE OVERUSE IN HEALTHCARE

Reduce low-value care with this practical guide

Low-value care harms patients, overburdens healthcare professionals, threatens healthcare systems and damages the climate. How to Reduce Overuse in Healthcare: a practical guide is designed to provide practical guidance and tools for healthcare providers, their professional societies and policy makers developing programs to de-implement low-value or unnecessary care. This guide provides a five-step evidence and theory-based framework for developing and evaluating programs such as Choosing Wisely to reduce low-value care and improve patient outcomes.

How to Reduce Overuse in Healthcare: a practical guide readers will also find:
_ An author team involved in the leading Choosing Wisely international network
_ Detailed analysis of how to identify potential low-value care areas, select interventions and more
_ Practical, real-world examples at the end of each chapter illustrating examples of overuse and de-implementation

How to Reduce Overuse in Healthcare: a practical guide describes the state of the art in de-implementation for healthcare professionals, healthcare administrators and policy makers looking to reduce low-value care in a more effective and evidence-based way.

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Produktdetails

• Verlag: Wiley & Sons / Wiley-Blackwell
• Artikelnr. des Verlages: 1W119862720
• 1. Auflage
• Seitenzahl: 240
• Erscheinungstermin: 1. September 2023
• Englisch
• Abmessung: 141mm x 217mm x 15mm
• Gewicht: 331g
• ISBN-13: 9781119862727
• ISBN-10: 1119862728
• Artikelnr.: 67518561

Autorenporträt

Tijn Kool, MD PhD, is Full Professor Appropriate Care at the Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands. Andrea M. Patey, PhD, is Senior Research Associate in the Centre for Implementation Research in the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Canada. Simone van Dulmen, PhD, is Senior Researcher in Appropriate and Sustainable Healthcare at the Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands. Jeremy M. Grimshaw, MBChB, PhD, Senior Scientist in the Centre for Implementation Research in the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Canada.

Inhaltsangabe

Preface x

Chapter 1 Why Should We Reduce Medical Overuse? 1
Karen Born and Wendy Levinson

It Started with Quality Improvement 1

Then Came a Focus on Overuse 3

Overuse as a Global Healthcare Quality Concern 5

What Can Be Done to Address Overuse? 6

Choosing Wisely 7

What Can you Expect in the Following Chapters? 9

References 10

Chapter 2 Why Does Overuse Exist? 13
Tijn Kool, Simone van Dulmen, Andrea M. Patey, and Jeremy M. Grimshaw

A Multifactorial Challenge on Different Levels 13

Healthcare Professional Factors 14

Patient Factors 15

Preference for Acquiring Something 16

Clinical Care Context Factors 16

Absence of an Open Culture 17

Absence of Clear Leadership 17

Healthcare Organisation Factors 18

Insufficient Time 18

Lack of Coordination Amongst Healthcare Providers 19

Healthcare System Factors 19

Payment System that Rewards Volume 19

Influence of the Pharmaceutical and Medical Device Industry 20

Healthcare Insurance Policy 20

Key Points 20

References 21

Chapter 3 Why Is It So Hard to Change Behaviour and How Can We Influence It? 23
Jill J. Francis, Sanne Peters, Andrea M. Patey, Nicola McCleary, Leti van Bodegom- Vos, and Harriet Hiscock

The Challenge of Behaviour Change 24

Is The Behaviour a Routine? 24

Is The Behaviour Rewarding? 24

Do Habits or Routines Play a Role in Sustaining the Behaviour? 26

Four Crucial Questions to Address Before Working to Support Behaviour Change 28

Why Is It So Difficult to Change the Behaviour of Healthcare Professionals? 30

Designing Interventions to Change Behaviour 35

Summary 36

Sources of Information for Supporting Practice Change Among Healthcare Professionals 36

References 36

Chapter 4 How Can We Reduce Overuse: The Choosing Wisely De- Implementation Framework 41
Jeremy M. Grimshaw and Andrea M. Patey

Introduction 41

The Choosing Wisely De- Implementation Framework 44

Phase 0: Identification of Potential Areas of Low- Value Healthcare 44

Phase 1: Identification of Local Prioritiesfor the Implementation of Recommendations 45

Phase 2: Identification of Barriers and Enablers to Implementing Recommendations and Potential Interventions to Overcome These 46

Phase 3: Evaluation of the Implementation 48

Phase 4: Spread of Effective Implementation Programs 49

Key Points 50

References 51

Chapter 5 How Can You Engage Patients in De- Implementation Activities? 54
Stuart G. Nicholls, Brian Johnston, Barbara Sklar, and Holly Etchegary

What Is Patient Engagement and Why is it Relevant to De- Implementation? 54

Making a Patient Engagement Plan 56

The Level of Engagement 57

Area 1 - Patient Engagement in Agenda Setting and Prioritisation 61

Area 2 - Patient Engagement in the Design and Conduct of De- Implementation Activities 64

Area 3 - Patient Engagement in Spread 65

Important Considerations when Engaging Patients 66

Key Points 68

Sources of Information 69

General Resources 69

Planning Tools 69

Patient Engagement Methods 70

Evaluation Tools 70

References 70

Chapter 6 Identifying Potential Areas of Low- Value Healthcare- Phase 0 73
Moriah E. Ellen, Saritte M. Perlman, and Jeremy M. Grimshaw

How to Identify Low- Value Care? 73

Resources to Identify Low- Value Care 75
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