Reducing Overuse by Healthcare Systems: A Positive Deviance Analysis.

ABSTRACT:

Background

Healthcare in the USA is increasingly delivered by large healthcare systems that include one or more hospitals and associated outpatient practices. It is unclear what role healthcare systems play in driving or preventing overutilization of healthcare services in the USA.

Objective

To learn how high-value healthcare systems avoid overuse of services DESIGN: We identified "positive deviant" health systems using a previously constructed Overuse Index. These systems have much lower-than-average overuse of healthcare services. We confirmed that these health systems also delivered high-quality care. We conducted semi-structured interviews with executive leaders of these systems to validate a published framework for understanding drivers of overuse.

Participants

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SUBMITTER: Ellenbogen MI 

PROVIDER: S-EPMC10465435 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature