ArticleBMC health services research2022
Reducing low-value radiological services in Norway -a qualitative multi-professional study on measures and facilitators for change.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Drivers and potential mitigation solutions for low-value medical imaging in Iran: a qualitative study.BMJ open · 2026Article
- Unloading the excess baggage: key informant interviews with Malaysian stakeholders on healthcare disinvestment initiatives.International journal of technology assessment in health care · 2026Article
- Norwegian general practitioners' and radiologists' perspectives on the referral, justification, and unnecessary imaging-a survey.Scandinavian journal of primary health care · 2024Article
- Reducing low-value imaging - stakeholders' assessment of an intervention to improve imaging services.BMC health services research · 2024Article
- Variations in wait times for imaging services: a register-based study of self-reported wait times for specific examinations in Norway.BMC health services research · 2023Article
- Drivers for low-value imaging: a qualitative study of stakeholders' perspectives in Norway.BMC health services research · 2023Article
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3 authors.
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Abstract
backgroundOveruse, underuse, and significant variation in the utilisation of radiological services are well documented in the literature. Several radiological examinations are identified as low-value examinations as they do not lead to a change in diagnosis or course of treatment. Even so, such examinations are frequently performed. Many measures for reducing low-value imaging have been carried out with variable outcomes. While there is little evidence as to why some measures work and others do not, adjusting to the context seems important for success. The objective of this study was to investigate which measures stakeholders consider appropriate for reducing the use of low-value imaging and what it takes to make them work.
methodsSemi-structured interviews were conducted among radiographers, radiologists, radiological department managers, hospital clinicians, general practitioners, and health government/authorities' representatives. The interview guide covered two broad areas: Experience with low-value services, and possible future measures deemed appropriate for reducing low-value services. Data were analysed in line with a qualitative framework analysis.
resultsThe analysis included information from 27 participants. All participants acknowledged that low-value imaging was a problem, but few had very specific suggestions on reducing this in practice. Suggested measures were to stop referrals from being sent, provide support in assessing referrals, or change the healthcare system. Identified facilitators were categorised as management and resources, evidence, and experienced value. In general, appropriate measures should be practical, well-founded, and valuable.
conclusionsThis study provides insight into various stakeholders' perceptions of suitable interventions to reduce low-value imaging. While many measures for reducing low-value imaging are available, contextual sensitivity is crucial to make them work.
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