Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care Comment on "Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands"

Author:

Weinerman Adina1,Soong Christine234ORCID

Affiliation:

1. Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

2. Division of General Internal Medicine, Sinai Health, Toronto, ON, Canada.

3. Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.

4. Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, ON, Canada.

Abstract

Low-value care drivers and interventions are often focused on a microsystem (eg, clinic or inpatient ward) or within a health system. Identification of national drivers such as payment structure and medical culture of overuse can help identify regional approaches to reducing low-value care. However, these approaches in isolation are insufficient and require additional strategies. These can include policy and payment changes and adopting shared decision-making (SDM). SDM has the potential to move medical culture away from the ‘more is better’ paternalistic and physician-centric culture to one that actively engages patients as full partners in managing their care.

Publisher

Maad Rayan Publishing Company

Subject

Health Policy,Health Information Management,Leadership and Management,Management, Monitoring, Policy and Law,Health (social science)

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