Low-value care

“It’s not a one operation fits all”: A qualitative study exploring fee setting and participation in price transparency initiatives amongst medical specialists in the Australian private healthcare sector – Hana Sabanovic et al.

2023-12-04T12:53:51+11:00Ethical considerations, Health policy, Health professionals, Health system, Insurance, Low-value care, Publications|

The Australian government, through Medicare, defines the type of medical specialist services it covers and subsidizes, but it does not regulate prices. Specialists in private practice can charge more than the fee listed by Medicare depending on what they feel ‘the market will bear’. This [...]

Low-Value Surgical Procedures in Low- and Middle-Income Countries: A Systematic Scoping Review – Loai Albarqouni et al.

2023-12-01T13:58:12+11:00Choosing Wisely, Low-value care, Overuse, Publications, Surgery, Underdiagnosis|

Are unnecessary surgical procedures performed in low- and middle-income countries (LMICs), and what are the associated factors, consequences, and solutions to reduce overuse? In this systematic scoping review of 133 studies with more than 9.1 million surgical procedures and 11.4 million participants in 63 LMICs, [...]

Can language enhance physical therapists’ willingness to follow Choosing Wisely recommendations? A best-worst scaling study – Kharel et al.

2023-11-01T10:05:25+11:00Low-value care, Physiotherapy, Publications|

Physical therapists were more willing to follow recommendations that provided more detail, alternatives to low-value care, and were positively framed. These findings can inform the development of future Choosing Wisely recommendations and could help reduce low-value physical therapy.

Randomized Trial of the Choosing Wisely Consumer Questions and a Shared Decision-Making Video Intervention on Decision-Making Outcomes – Muscat et al.

2023-11-01T10:00:35+11:00Health literacy, Low-value care, Publications, Shared decision making|

Reducing low-value health services is a complex issue, with significant clinical and health policy implications. This is the first randomized study to demonstrate that the consumer Choosing Wisely questions and a video intervention to promote question asking and engagement in SDM may improve participants’ intention [...]

Introducing Australia’s clinical care standard for low back pain – Christopher G Maher et al – J Med Imaging Radiat Oncol

2023-07-03T16:02:19+10:00Back pain, Clinical guidelines, Health policy, Health professionals, Low back pain, Low-value care, Musculoskeletal, Pain, Publications|

The Low Back Pain Clinical Care Standard provides an excellent guide for how each of the professions can contribute to better care of low back pain. The Standard points to the key areas of care where the need for quality improvement is greatest, by describing [...]

Introducing Australia’s clinical care standard for low back pain – Christopher G Maher et al – Emerg Med Aus

2023-07-03T15:50:57+10:00Clinical guidelines, Health policy, Health professionals, Low back pain, Low-value care, Musculoskeletal, Pain, Publications|

The Low Back Pain Clinical Care Standard provides an excellent guide for how each of the professions can contribute to better care of low back pain. The Standard points to the key areas of care where the need for quality improvement is greatest, by describing [...]

Introducing Australia’s clinical care standard for low back pain – Christopher G Maher et al – Med J Aus

2023-07-03T15:48:56+10:00Clinical guidelines, Health policy, Low back pain, Low-value care, Musculoskeletal, Pain, Publications|

The Low Back Pain Clinical Care Standard provides an excellent guide for how each of the professions can contribute to better care of low back pain. The Standard points to the key areas of care where the need for quality improvement is greatest, by describing [...]

Behavioural change interventions encouraging clinicians to reduce carbon emissions in clinical activity: a systematic review – Carys Batcup et al

2023-06-28T15:46:41+10:00Carbon footprint, Carbon neutral, Low-value care, Overtesting, Publications, Sustainable health care|

Clinical activity accounts for 70–80% of the carbon footprint of healthcare. A critical component of reducing emissions is shifting clinical behaviour towards reducing, avoiding, or replacing carbon-intensive healthcare. The objective of this systematic review was to find, map and assess behaviour change interventions that have [...]

The paradox of using SDM for de-implementation of low-value care in the clinical encounter – Paula Riganti et al

2023-06-27T17:20:45+10:00Clinical guidelines, Low-value care, Overuse, Publications, Shared decision making|

Different studies showed that when patients are better informed about the benefits and harms of interventions (eg, surgeries, screening tests, medications), they tend to decline low-value care. These findings might explain why SDM has been promoted to reduce low-value care. Focusing on the conversations between [...]

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