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- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/07%3A_Low-value_care/7.02%3A_Underpinning_theoryThe EVOLVE Top 5 methodology gives clinicians and those working in low-value care identification and change a framework that has been tested and which supports the development, refinement and finalisa...The EVOLVE Top 5 methodology gives clinicians and those working in low-value care identification and change a framework that has been tested and which supports the development, refinement and finalisation of identified low-value practices in healthcare to create an action agenda for improvement and change.
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/09%3A_Evaluating_the_economics_of_health_programs_and_interventions/9.05%3A_ReferencesNon-adherence to guidelines for preoperative testing in a secondary care hospital in Austria: the economic impact of unnecessary and double testing. Assessment of the cost-effectiveness of Australia’s...Non-adherence to guidelines for preoperative testing in a secondary care hospital in Austria: the economic impact of unnecessary and double testing. Assessment of the cost-effectiveness of Australia’s risk-sharing agreement for direct-acting antiviral treatments for hepatitis C: a modelling study. Use of decision modelling in economic evaluations of diagnostic tests: an appraisal and review of health technology assessments in the UK.
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/09%3A_Evaluating_the_economics_of_health_programs_and_interventions/9.02%3A_Economic_evaluation_methodologyThe selection should be driven by the study’s goals, the intended audience of the results and the context within which decisions will be made. For instance, if a sensitivity analysis of a health inter...The selection should be driven by the study’s goals, the intended audience of the results and the context within which decisions will be made. For instance, if a sensitivity analysis of a health intervention’s cost–benefit analysis shows that the model’s outcomes are highly sensitive to the choice of discount rate (the rate used to put a present value on costs and benefits that will occur later), then ensuring the accuracy of the discount rate (e.g.
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/08%3A_Evaluating_the_effects_of_healthcare_programs_and_interventions/8.06%3A_ConclusionThis chapter highlighted the criticality of evaluating interventions targeting the reduction of low-value care to enhance healthcare quality, patient safety and system sustainability. Key takeaways in...This chapter highlighted the criticality of evaluating interventions targeting the reduction of low-value care to enhance healthcare quality, patient safety and system sustainability. Key takeaways include the necessity of robust evaluation frameworks, the role of economic analyses in understanding cost implications, and the importance of addressing systemic and behavioural aspects to effect change.
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/08%3A_Evaluating_the_effects_of_healthcare_programs_and_interventions/8.05%3A_Implications_for_practiceThese examples underscore the complexity of reducing low-value care and the need for comprehensive, contextually adapted strategies that address the multifaceted drivers of healthcare provider behavio...These examples underscore the complexity of reducing low-value care and the need for comprehensive, contextually adapted strategies that address the multifaceted drivers of healthcare provider behaviour and healthcare system dynamics. Support provider education and training: provide resources and opportunities for healthcare providers to learn about identifying and reducing low-value care, including workshops, seminars and access to current research.
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/07%3A_Low-value_care/7.01%3A_Understanding_and_quantifying_low-value_careMonitoring an agreed set of performance indicators related to quality, safety, efficiency and efficacy enables the identification of practices, procedures and areas of improvement to reduce situations...Monitoring an agreed set of performance indicators related to quality, safety, efficiency and efficacy enables the identification of practices, procedures and areas of improvement to reduce situations and circumstances of low-value care, to enhance the continuum of care provided to patients and consumers.
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/08%3A_Evaluating_the_effects_of_healthcare_programs_and_interventionsEvaluating the effects of programs and interventions aimed at reducing low-value healthcare is essential for ensuring patient safety, improving healthcare quality, making efficient use of resources, a...Evaluating the effects of programs and interventions aimed at reducing low-value healthcare is essential for ensuring patient safety, improving healthcare quality, making efficient use of resources, and informing policy and clinical practice. By examining the implications of low-value care on healthcare systems, providers and patients, this chapter provides insights into the importance of evaluating and improving interventions to enhance the quality and efficiency of healthcare delivery.
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/08%3A_Evaluating_the_effects_of_healthcare_programs_and_interventions/8.02%3A_Evaluating_low-value_care_programs_and_interventionsBy applying the COM-B model to the issue of low-value care, healthcare organisations and policymakers can develop more nuanced and effective strategies for promoting the adoption of evidence-based, hi...By applying the COM-B model to the issue of low-value care, healthcare organisations and policymakers can develop more nuanced and effective strategies for promoting the adoption of evidence-based, high-value care practices among healthcare professionals, ultimately improving patient outcomes and efficiency within the healthcare system.
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/08%3A_Evaluating_the_effects_of_healthcare_programs_and_interventions/8.01%3A_Low-value_care_evaluationSimilarly in Germany a study that looked at the prevalence of low-value care in people with dementia found that the prevalence of low-value care was high , with 31 per cent of the study population rec...Similarly in Germany a study that looked at the prevalence of low-value care in people with dementia found that the prevalence of low-value care was high , with 31 per cent of the study population receiving low-value care (Platen et al., 2021).
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/07%3A_Low-value_care/7.06%3A_ConclusionGiven the dynamic nature of health and aged care service delivery and the continuous flow of information within small, medium and large health and aged care organisations there is a need for contempor...Given the dynamic nature of health and aged care service delivery and the continuous flow of information within small, medium and large health and aged care organisations there is a need for contemporary and robust plans and strategies to identify the role of low-value care in a quality landscape and plans for direct care assurance and improvement.
- https://med.libretexts.org/Bookshelves/Medicine/Value-based_Healthcare_(Khalil)/07%3A_Low-value_care/7.04%3A_Settings_for_low-value_healthcareLow-value care can occur in various settings and situations in the health system and can be related to procedures and interventions, diagnostic testing and medication prescribing, and in end-of-life c...Low-value care can occur in various settings and situations in the health system and can be related to procedures and interventions, diagnostic testing and medication prescribing, and in end-of-life care related to issues of demonstrable meaningful benefit for terminally ill patients and residents.
