Selecting indicators for the measurement of low-value care using German claims data: A three-round modified Delphi panel.

ABSTRACT: By reducing healthcare services that offer little benefit or potential harm to patients (low-value care), resources can be redirected towards more adequate treatments, improving healthcare efficiency and patient outcomes. This study aimed to systematically incorporate clinical expertise across medical disciplines through a Delphi process to establish indicators for measuring low-value care, ensuring their acceptance by medical societies, the broader medical community, and patients. We developed two versions (one with higher sensitivity and one with higher specificity) for almost each of the 42 indicators identified as potentially measurable in a previous systematic review. We conducted a three-round modified Delphi panel based on the RAND/UCLA appropriateness methodology, with 62 experts f

SUBMITTER: Pioch C 

PROVIDER: S-EPMC11835324 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature