ArticleBMC health services research2023
Drivers for low-value imaging: a qualitative study of stakeholders' perspectives in Norway.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Variations in general practitioners' referrals to low-value MRI examinations in Norway: A nationwide register-based study.The European journal of general practice · 2026Article
- Danish GP trainees' experiences of navigating patient expectations for non-indicated procedures or tests: a qualitative interview study.Scandinavian journal of primary health care · 2026Article
- Drivers and potential mitigation solutions for low-value medical imaging in Iran: a qualitative study.BMJ open · 2026Article
- Implementation of Electronic Clinical Decision Support for Radiology Referrals: The Role of Governance, Clinician Engagement and Education.Emergency medicine Australasia : EMA · 2026Article
- Review
- Addressing the overuse-underuse paradox in healthcare.Medicine, health care, and philosophy · 2025Article
- Temporal and geographical variations in musculoskeletal imaging: a register-based study in Norway with focus on potential low-value imaging.Research in health services & regions · 2025Article
- Geographical variations and potential low-value neuroimaging examinations in Norway from 2013 to 2022.Research in health services & regions · 2025Article
- Assessing context and readiness of emergency medicine physicians to promote evidence-based imaging referral guidelines: a mixed-methods study.Translational behavioral medicine · 2025Article
- Article
- Norwegian general practitioners' and radiologists' perspectives on the referral, justification, and unnecessary imaging-a survey.Scandinavian journal of primary health care · 2024Article
- Trends in CT examination utilization in the emergency department during and after the COVID-19 pandemic.BMC medical imaging · 2024Article
- Article
- Temporal and geographical variations in diagnostic imaging in Norway.BMC health services research · 2024Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOne kind of overutilization of diagnostic imaging is low-value imaging, i.e., imaging that does not lead to altered clinical pathways or improved health outcomes. Despite having well-documented extension and consequences, low-value imaging is still widespread. The objective of this study was to identify the drivers for the use of low-value imaging in the Norwegian healthcare services.
methodsWe conducted individual, semi-structured interviews among representatives from the health authorities, general practitioners, specialists working in hospitals, radiologists, radiographers, and managers of imaging departments. Data analysis was carried out in line with framework analysis consisting of five steps: Familiarization, indexing, charting, mapping, and interpretation.
resultsThe analysis included 27 participants and resulted in two themes. The stakeholders identified drivers in the healthcare system and in the interaction between radiologists, referrers, and patients. The identified drivers were categorized in sub-themes, such as organization, communication, competence, expectations, defensive medicine, roles and responsibilities, and referral quality and time constraints. The drivers interact with each other and may strengthen the effect of other drivers.
conclusionsSeveral drivers for low-value imaging in Norway were identified at all levels of the healthcare system. The drivers work simultaneously and synergistically. To free resources for high-value imaging, drivers should be targeted by appropriate measures at several levels to reduce low-value imaging.
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