ArticleEthnicity & disease2019
Promoting Health Equity through De-Implementation Research.
Article in Ethnicity & disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- De-implementing low-value care in cancer care delivery: a systematic review.Implementation science : IS · 2022Pooled it
- De-implementing spinal injections in pursuit of value-based care: Rethinking pain relief.The journal of pain · 2026Review
- Advancing the Field of Deimplementation: Perspectives on Low-Value Clinical Preventive Services.AJPM focus · 2025Article
- Racial and Ethnic Differences in Low-Value Care Among Older Adults in a Large Statewide Health System.Journal of the American Geriatrics Society · 2025Article
- Institutionalisation of convergent medical innovation: an empirical study of the MRI-guided linear accelerator in the Netherlands and the United States.Innovation (North Sydney, N.S.W.) · 2025Article
- Blending De-implementation and Implementation to Promote Adoption of Universal PrEP Guidelines: Determinants, Strategies, and Outcomes.Critical public health · 2025Article
- The Challenges Associated withBehavior analysis in practice · 2024Article
- Stakeholders' perspectives on disinvestment of low-value healthcare interventions and practices in Malaysia: an online survey.International journal of technology assessment in health care · 2024Article
- Improving healthcare value: The need to explicitly address equity in high-value care.Journal of hospital medicine · 2024Article
- Advancing healthcare equity through dissemination and implementation science.Health services research · 2023Review
- Deciphering Disparities: The NHLBI Program on Disparities Elimination through Coordinated Interventions to Prevent and Control Heart and Lung Disease Risk (DECIPHeR).Ethnicity & disease · 2023Article
- Eliminating health care inequities through strengthening access to care.Health services research · 2023Article
- Deimplementation in the provision of opioid agonist treatment to achieve equity of care for people engaged in treatment: a qualitative study.Implementation science : IS · 2023Article
- A Policy Approach to Reducing Low-Value Device-Based Procedure Use.The Milbank quarterly · 2022Article
- Sustainable deimplementation of continuous pulse oximetry monitoring in children hospitalized with bronchiolitis: study protocol for the Eliminating Monitor Overuse (EMO) type III effectiveness-deimplementation cluster-randomized trial.Implementation science : IS · 2022Article
- A call to integrate health equity into learning health system research training.Learning health systems · 2022Article
- Supporting the Growth of Domestic HIV Implementation Research in the United States Through Coordination, Consultation, and Collaboration: How We Got Here and Where We Are Headed.Journal of acquired immune deficiency syndromes (1999) · 2022Article
- Addressing health disparities through implementation science-a need to integrate an equity lens from the outset.Implementation science : IS · 2022Article
- "It's good to feel like you're doing something": a qualitative study examining state health department employees' views on why ineffective programs continue to be implemented in the USA.Implementation science communications · 2022Article
- A scoping review of de-implementation frameworks and models.Implementation science : IS · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Ensuring equitable access to quality health care historically has focused on gaps in care, where patients fail to receive the high-value care that will benefit them, something termed underuse. But providing high-quality health care sometimes requires reducing low-value care that delivers no benefit or where known harms outweigh expected benefits. These situations represent health care overuse. The process involved in reducing low-value care is known as de-implementation. In this article, we argue that de-implementation is critical for advancing equity for several reasons. First, medical overuse is associated with patient race, ethnicity, and socioeconomic status. In some cases, the result is even double jeopardy, where racial and ethnic minorities are at higher risk of both overuse and underuse. In these cases, more traditional efforts focused exclusively on underuse ignore half of the problem. Second, overuse of preventive care and screening is often greater for more socioeconomically advantaged patients. Within insured populations, this means more socioeconomically disadvantaged patients subsidize overuse. Finally, racial and ethnic minorities may have different experiences of overuse than Whites in the United States. This may make efforts to de-implement overuse particularly fraught. We therefore provide several actions for closing current research gaps, including: adding subgroup analyses in studies of medical overuse; specifying and measuring potential mechanisms related to equity (eg, double jeopardy vs thermostat models of overuse); and testing de-implementation strategies that may mitigate bias.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.