Unpacking the complexities of de-implementing inappropriate health interventions

Autor: David A. Chambers, Wynne E. Norton
Rok vydání: 2020
Předmět:
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Health Behavior
Psychological intervention
Health Informatics
Medical Overuse
Population health
Low-value
01 natural sciences
Health informatics
Health administration
03 medical and health sciences
Harmful
0302 clinical medicine
Nursing
Overuse
Health care
Humans
Medicine
De-adoption
030212 general & internal medicine
0101 mathematics
Health policy
lcsh:R5-920
Medical reversal
Overtreatment
business.industry
Health Policy
Public health
010102 general mathematics
Public Health
Environmental and Occupational Health
Health services research
Overscreening
General Medicine
Ineffective
Organizational Culture
De-escalation
Unproven
Socioeconomic Factors
Practice Guidelines as Topic
Commentary
De-implementation
Implementation science
Patient Safety
lcsh:Medicine (General)
business
Delivery of Health Care
Zdroj: Implementation Science : IS
Implementation Science, Vol 15, Iss 1, Pp 1-7 (2020)
ISSN: 1748-5908
DOI: 10.1186/s13012-019-0960-9
Popis: De-implementing inappropriate health interventions is essential for minimizing patient harm, maximizing efficient use of resources, and improving population health. Research on de-implementation has expanded in recent years as it cuts across types of interventions, patient populations, health conditions, and delivery settings. This commentary explores unique aspects of de-implementing inappropriate interventions that differentiate it from implementing evidence-based interventions, including multi-level factors, types of action, strategies for de-implementation, outcomes, and unintended negative consequences. We highlight opportunities to continue to advance research on the de-implementation of inappropriate interventions in health care and public health.
Databáze: OpenAIRE
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