Commentary: De-implementation Science: A Virtuous Cycle of Ceasing and Desisting Low-Value Care Before Implementing New High Value Care.
Implementation science has traditionally focused on increasing the delivery of evidence-based care. The science of systematically stopping low-value and wasteful care is substantially under-recognized, and if successful, may decrease the workload of clinicians. De-implementation science identifies p...
| Publicado en: | Ethnicity & Disease Vol. 27; no. 4; pp. 463 - 469 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
KnowledgeWorks Global, Ltd
Autumn2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126663062&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126663062 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1049510X 2QJY jtl: Ethnicity & Disease issn: 1049510X maglogo: N pubinfo: dt: Autumn2017 vid: 27 iid: 4 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 126663062 126663062 NLM29225448 10.18865/ed.27.4.463 NLM29225448 126663062 ppf: 463 ppct: 6 formats: tig: atl: Commentary: De-implementation Science: A Virtuous Cycle of Ceasing and Desisting Low-Value Care Before Implementing New High Value Care. aug: au: Davidson, Karina W. Siqin Ye Mensah, George A. Ye, Siqin affil: Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York, New York sug: ab: Implementation science has traditionally focused on increasing the delivery of evidence-based care. The science of systematically stopping low-value and wasteful care is substantially under-recognized, and if successful, may decrease the workload of clinicians. De-implementation science identifies problem areas of low-value and wasteful practice, carries out rigorous scientific examination of the factors that initiate and maintain such behaviors, and then employs evidence-based interventions to cease these practices. In this commentary, we describe how this approach for de-implementation might require a different set of health systems supports, economic and non-economic levers, and behavior change techniques that can lead to a virtuous cycle, ie, a complex chain of events that positively reinforce themselves through a feedback loop of removing low-value care to make room for high quality care. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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