ArticleInternational journal of health policy and management2022
Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands.
Article in International journal of health policy and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Women's interest, knowledge, and attitudes relating to anti-Mullerian hormone testing: a randomized controlled trial.Human reproduction (Oxford, England) · 2024Trial
- Novel approach to the codesign of a tailored intervention bundle: applying theory with pragmatism.BMJ open quality · 2026Article
- Addressing low-value care (LVC) in Asia: a narrative review of Choosing Wisely and other initiatives across Asia.BMJ open quality · 2026Review
- Physician-suggested strategies for deimplementing low-value care in Swedish primary care: a qualitative analysis across system levels.Implementation science communications · 2026Article
- Low-value medical orders: bridging the gap between concept and action in reducing healthcare waste.Frontiers in public health · 2026Article
- Evaluation of Payer Policies to Reduce Low-Value Medical Device-Based Procedure Use.JAMA health forum · 2025Article
- Advancing the Field of Deimplementation: Perspectives on Low-Value Clinical Preventive Services.AJPM focus · 2025Article
- Primary Care Physician Characteristics and Low-Value Care Provision in Japan.JAMA health forum · 2025Article
- Australian General Practitioners' Use of Diagnostic Lumbar Spine Imaging for Patients With Acute Low Back Pain: A Qualitative Study.Musculoskeletal care · 2025Article
- The Gatekeeper's Dilemma: Unpacking the Complexity of Low-Value Care in General Practice.Sociology of health & illness · 2025Article
- Associations of Chinese diagnosis-related group system with low-value coronary revascularisation: an interrupted time series analysis.BMJ open · 2025Observational
- Understanding healthcare efficiency-an AI-supported narrative review of diverse terminologies used.BMC medical education · 2025Review
- Trends in Axillary Lymph Node Dissection After Mastectomy Among Patients With Limited Nodal Burden.JAMA network open · 2025Article
- Factors associated with patients' demand for low-value care: a scoping review.BMC health services research · 2024Article
- Evidence is not enough: health technology reassessment to de-implement low-value care.Health research policy and systems · 2024Article
- Effect of Health Service Area on Primary Care Physician Provision of Low-Value Cancer Screening.Annals of internal medicine · 2024Article
- Unravelling Low-Value Care Decision-Making: Residents' Perspectives on the Influence of Contextual Factors.International journal of health policy and management · 2024Article
- Drivers for low-value imaging: a qualitative study of stakeholders' perspectives in Norway.BMC health services research · 2023Article
- The TRIBE model: How socioemotional processes fuel end-of-life treatment in the United States.Social science & medicine (1982) · 2023Review
- Challenges and Opportunities for Reducing Low-Value Care; A Response to Recent Commentaries.International journal of health policy and management · 2023Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAround the world, policies and interventions are used to encourage clinicians to reduce low-value care. In order to facilitate this, we need a better understanding of the factors that lead to low-value care. We aimed to identify the key factors affecting low-value care on a national level. In addition, we highlight differences and similarities in three countries.
methodsWe performed 18 semi-structured interviews with experts on low-value care from three countries that are actively reducing low-value care: the United States, Canada, and the Netherlands. We interviewed 5 experts from Canada, 6 from the United States, and 7 from the Netherlands. Eight were organizational leaders or policy-makers, 6 as low-value care researchers or project leaders, and 4 were both. The transcribed interviews were analyzed using inductive thematic analysis.
resultsThe key factors that promote low-value care are the payment system, the pharmaceutical and medical device industry, fear of malpractice litigation, biased evidence and knowledge, medical education, and a 'more is better' culture. These factors are seen as the most important in the United States, Canada and the Netherlands, although there are several differences between these countries in their payment structure, and industry and malpractice policy.
conclusionPolicy-makers and researchers that aim to reduce low-value care have experienced that clinicians face a mix of interdependent factors regarding the healthcare system and culture that lead them to provide low-value care. Better awareness and understanding of these factors can help policy-makers to facilitate clinicians and medical centers to deliver high-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.