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How to Reduce Overuse in Healthcare A Practical Guide Team IRA 1st Edition by Tijn Kool, Andrea Patey, Simone van Dulmen, Jeremy Grimshaw ISBN 978-1119862741 1119862741

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How to Reduce Overuse in Healthcare A Practical Guide Team IRA 1st Edition Tijn Kool (Editor) Digital Instant Download

Author(s): Tijn Kool (editor), Andrea M. Patey (editor), Simone van Dulmen (editor), Jeremy M. Grimshaw (editor)
ISBN(s): 9781119862727, 1119862728
Edition: 1
File Details: PDF, 7.63 MB
Year: 2023
Language: english
SKU: EB-51625036 Category: Tags: , , ,

How to Reduce Overuse in Healthcare A Practical Guide Team IRA 1st Edition by Tijn Kool, Andrea M. Patey, Simone van Dulmen,  Jeremy M. Grimshaw I – Ebook PDF Instant Download/Delivery: 978-1119862741, 1119862741 
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Product details: 

ISBN 10:  1119862741 

ISBN 13: 978-1119862741

Author:  Tijn Kool, Andrea M. Patey, Simone van Dulmen,  Jeremy M. Grimshaw

HOW TO REDUCE OVERUSE IN HEALTHCARE
Reduce low-value care with this practical guide

Low-value care harms patients, overburdens healthcare professionals, threatens healthcare systems and damages the climate. How to Reduce Overuse in Healthcare: a practical guide is designed to provide practical guidance and tools for healthcare providers, their professional societies and policy makers developing programs to de-implement low-value or unnecessary care. This guide provides a five-step evidence and theory-based framework for developing and evaluating programs such as Choosing Wisely to reduce low-value care and improve patient outcomes.

How to Reduce Overuse in Healthcare: a practical guide readers will also find:

An author team involved in the leading Choosing Wisely international network
Detailed analysis of how to identify potential low-value care areas, select interventions and more
Practical, real-world examples at the end of each chapter illustrating examples of overuse and de-implementation
How to Reduce Overuse in Healthcare: a practical guide describes the state of the art in de-implementation for healthcare professionals, healthcare administrators and policy makers looking to reduce low-value care in a more effective and evidence-based way.

Table of contents: 

Chapter 1. Why Should We Reduce Medical Overuse?

  • It Started with Quality Improvement

  • Then Came a Focus on Overuse

  • Overuse as a Global Healthcare Quality Concern

  • What Can Be Done to Address Overuse?

  • Choosing Wisely

  • What Can You Expect in the Following Chapters?

  • References

Chapter 2. Why Does Overuse Exist?

  • A Multifactorial Challenge on Different Levels

  • Healthcare Professional Factors

  • Patient Factors

  • Preference for Acquiring Something

  • Clinical Care Context Factors

  • Absence of an Open Culture

  • Absence of Clear Leadership

  • Healthcare Organisation Factors

  • Insufficient Time

  • Lack of Coordination Amongst Healthcare Providers

  • Healthcare System Factors

  • Payment System that Rewards Volume

  • Influence of the Pharmaceutical and Medical Device Industry

  • Healthcare Insurance Policy

  • Key Points

  • References

Chapter 3. Why Is It So Hard to Change Behaviour and How Can We Influence It?

  • The Challenge of Behaviour Change

  • Is the Behaviour a Routine?

  • Is the Behaviour Rewarding?

  • Do Habits or Routines Play a Role in Sustaining the Behaviour?

  • Four Crucial Questions Before Supporting Behaviour Change

  • Why Is It So Difficult to Change the Behaviour of Healthcare Professionals?

  • Designing Interventions to Change Behaviour

  • Summary

  • Sources of Information for Supporting Practice Change

  • References

Chapter 4. How Can We Reduce Overuse: The Choosing Wisely De-Implementation Framework

  • Introduction

  • The Choosing Wisely De-Implementation Framework

  • Phase 0: Identification of Potential Areas of Low-Value Healthcare

  • Phase 1: Identification of Local Priorities

  • Phase 2: Identification of Barriers and Enablers

  • Phase 3: Evaluation of the Implementation

  • Phase 4: Spread of Effective Implementation Programs

  • Key Points

  • References

Chapter 5. How Can You Engage Patients in De-Implementation Activities?

  • What Is Patient Engagement and Why Is It Relevant?

  • Making a Patient Engagement Plan

  • The Level of Engagement

  • Area 1 – Agenda Setting and Prioritisation

  • Area 2 – Design and Conduct of De-Implementation Activities

  • Area 3 – Spread

  • Important Considerations

  • Key Points

  • Sources of Information (General Resources, Planning Tools, Patient Engagement Methods, Evaluation Tools)

  • References

Chapter 6. Identifying Potential Areas of Low-Value Healthcare (Phase 0)

  • How to Identify Low-Value Care

  • Resources to Identify Low-Value Care

  • Recommendation Lists

  • Clinical Practice Guidelines

  • Health Technology Assessments

  • Evidence Syntheses and Systematic Reviews

  • From Identification to Measurement

  • Key Points

  • Sources of Further Information

  • References

Chapter 7. Measuring Low-Value Care and Choosing Your Local Priority (Phase 1)

  • Choosing Your Local Priority

  • Measuring Low-Value Care

  • Baseline Measurements

  • Estimating Improvement Potential

  • Evaluating De-Implementation Effects

  • Measuring Unintended Consequences

  • Measurement Methods and Data Source

  • SMART Targets

  • Providing Data and Feedback to Stakeholders

  • Key Points

  • References

Chapter 8. Identifying Target Behaviours and Potential Barriers to Change (Phase 2a)

  • The Importance of Fully Understanding the Problem

  • Getting Started

  • Identifying Who Needs to Do What Differently

  • Using the AACTT Framework

  • Identifying Drivers, Barriers, and Enablers

  • Collecting Data (Interviews, Focus Groups, Surveys)

  • Analysing the Data

  • Narrowing Down the Drivers or Barriers

  • Key Points

  • Useful Resources

  • References

  • Appendix: Sample Interview Guide

Chapter 9. Selecting De-Implementation Strategies and Designing Interventions (Phase 2b)

  • Preparation Before Selecting Strategies

  • Ten General Principles for Developing Interventions

  • Key Points

  • Sources

  • References

Chapter 10. Evaluating De-Implementation Interventions (Phase 3)

  • Why Should We Evaluate?

  • Outcomes

  • Types of Evaluations

  • Randomised Evaluations

  • Non-Randomised Evaluations

  • Selecting the Most Appropriate Method

  • How and Why Does the Intervention Work?

  • Value for Money

  • Key Points

  • References

Chapter 11. Preserving Results and Spreading Interventions (Phase 4)

  • Why Are Sustainability and Spread Important?

  • What Is Sustainability?

  • Factors Influencing Sustained Change (Process, Staff, Organisation)

  • How Can You Facilitate Sustainability?

  • Assessing Sustainability

  • Sustainability and Culture

  • Spreading Successful Interventions

  • Scaling Strategy

  • De-Implementation Intervention

  • Adopters and Organisations

  • External Context

  • Key Points

  • References

Chapter 12. Training the Next Generation of Healthcare Providers

  • Introduction

  • High-Value Care Competencies

  • Teaching Students and Trainees

  • Educational Changes to Curriculum

  • Faculty Role Modelling and Supportive Learning

  • Assessing Outcomes

  • Enablers of Educational Change

  • Aligning Professional Development and Quality Improvement

  • Key Points

  • Sources

  • References

Chapter 13. Examples from Clinical Practice

  • Introduction

  • References

Chapter 14. Starting Tomorrow

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Tags: Tijn Kool, Andrea Patey, Simone van Dulmen, Jeremy Grimshaw, How to Reduce, A Practical Guide