ArticleBMJ open2020
Identifying and de-implementing low-value care in primary care: the GP's perspective-a cross-sectional survey.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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
27 citing papers in PubMed, 56 citations in OpenAlex.
- Prevalence of Low-Value Care and Its Associations with Patient-Centered Outcomes in Dementia.Journal of Alzheimer's disease : JAD · 2021Trial
- Article
- Implementing a primary-tertiary shared care model for enhancing cascade testing for familial hypercholesterolaemia: an effectiveness-implementation hybrid type III pre-post study.Implementation science communications · 2026Article
- Physician-suggested strategies for deimplementing low-value care in Swedish primary care: a qualitative analysis across system levels.Implementation science communications · 2026Article
- The role of electronic health records systems in de-implementing low-value care in primary care: a scoping review.Implementation science communications · 2025Review
- 'Harm? I don't think so!': medical overuse from the perspective of allied health professionals in Germany - a qualitative study.BMJ open · 2025Article
- Barriers and facilitators for reducing low-value home-based nursing care: A qualitative exploratory study among homecare professionals.Journal of advanced nursing · 2025Article
- The impact of Choosing WiselyBMC health services research · 2025Article
- Relative importance and interactions of factors influencing low-value care provision: a factorial survey experiment among Swedish primary care physicians.BMJ quality & safety · 2025Article
- Associations of Chinese diagnosis-related group system with low-value coronary revascularisation: an interrupted time series analysis.BMJ open · 2025Observational
- Article
- Reducing the environmental burden of unnecessary investigations.Canadian family physician Medecin de famille canadien · 2025Article
- Factors associated with patients' demand for low-value care: a scoping review.BMC health services research · 2024Article
- 'The health care system is more like a business'-medical overuse from the patients' perspective in Germany: a qualitative study.BMJ open · 2024Article
- Perspectives on low-value care and barriers to de-implementation among primary care physicians: a multinational survey.BMC primary care · 2024Article
- Planetary health lens for primary care: Considering environmental sustainability offers benefits to patients and to providers.Canadian family physician Medecin de famille canadien · 2024Article
- Barriers and facilitators to reducing low-value care for the management of low back pain in Iran: a qualitative multi-professional study.BMC public health · 2024Article
- Understanding Healthcare Personnel's Perceptions About Reducing Low-Value Care: A Scoping Review.Risk management and healthcare policy · 2024Article
- The use of low-value imaging: the role of referral practice and access to imaging services in a representative area of Norway.Insights into imaging · 2023Article
- Influence of Initial Health Care Provider on Subsequent Health Care Utilization for Patients With a New Onset of Low Back Pain: A Scoping Review.Physical therapy · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveGeneral practitioners have an important role in reducing low-value care as gatekeepers of the health system. The aim of this study was to assess the experiences of Dutch general practitioners regarding low-value care and to identify their needs to decrease low-value primary care.
designWe performed a cross-sectional study.
participantsWe sent a survey to 500 general practitioners.
settingPrimary care in the Netherlands. PRIMARY AND SECONDARY OUTCOMES: The survey contained questions about the provision of low-value care and on clinical cases about lumbosacral spine X-rays in patients with low back pain and vitamin B
resultsA total of 182 general practitioners (37%) responded. 67% indicated that low-value care practices are regularly provided in general practice. 57% of the general practitioners have seen negative consequences of low-value care, in particular side effects of medication. The most provided low-value care practices are medication prescriptions such as antibiotics and laboratory tests such as vitamin B
conclusionGeneral practitioners are aware of providing unnecessary care despite their role as gatekeepers and have reasons for this. They need support in order to change their practice. This support might consist of better education of healthcare professionals and providing more time for consultation. Local and national media, such as websites and television, could be used to educate patients while guidelines could support professionals in reducing low-value care.
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Registered trials
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.