Beyond light-touch nudges: rethinking interventions to reduce low-value care at the end of life.
The article focuses on the challenges of reducing low-value care for older adults at the end of life (EOL) in hospital settings, highlighting findings from the InterACT trial, which tested behavioural nudges to improve care for seriously ill patients aged 75 and older. The trial showed that low-cost...
| Publicado en: | Age & Ageing Vol. 55; no. 1; pp. 1 - 4 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jan2026
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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=ssf&AN=192513118&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513118 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jan2026 vid: 55 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513118 10.1093/ageing/afaf377 ppf: 1 ppct: 3 formats: tig: atl: Beyond light-touch nudges: rethinking interventions to reduce low-value care at the end of life. aug: au: Malhotra, Chetna Andres, Ellie B Poco, Louisa affil: Duke-NUS Medical School, Lien Centre for Palliative Care, 169857, Singapore su: Australia Palliative treatment Medical care Patient-centered care Health behavior Medical research Terminal care Patients' attitudes Cost analysis Value-based healthcare Quality assurance sug: subj: Palliative treatment Medical care Patient-centered care Health behavior Medical research Terminal care Patients' attitudes Australia Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) Cost analysis Value-based healthcare Quality assurance keyword: behavioural nudges copyrightHolder:British Geriatrics Society copyrightYear:2026 de-implementation end-of-life care https://dx.doi.org/10.1093/ageing/afaf377 inLanguage:en low-value care older people publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41563341/ value-based care behavioural nudges copyrightHolder:British Geriatrics Society copyrightYear:2026 de-implementation end-of-life care https://dx.doi.org/10.1093/ageing/afaf377 inLanguage:en low-value care older people publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41563341/ value-based care ab: The article focuses on the challenges of reducing low-value care for older adults at the end of life (EOL) in hospital settings, highlighting findings from the InterACT trial, which tested behavioural nudges to improve care for seriously ill patients aged 75 and older. The trial showed that low-cost nudges alone were insufficient to change entrenched clinical practices or increase palliative care referrals, due to systemic incentives, hospital culture, and workflow integration barriers. The authors propose a five-step roadmap for de-implementing low-value EOL care, emphasizing comprehensive assessment, embedding palliative care, aligning financial and organizational incentives, engaging stakeholders including patients and families, and rigorous evaluation. Sustainable improvement in EOL care requires multi-level strategies beyond behavioural nudges, incorporating systemic reforms and collaborative decision-making to enhance patient quality of life. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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