Relative importance and interactions of factors influencing low-value care provision: a factorial survey experiment among Swedish primary care physicians.

ABSTRACT:

Background

Low-value care (LVC) describes practices that persist in healthcare, despite being ineffective, inefficient or causing harm. Several determinants for the provision of LVC have been identified, but understanding how these factors influence professionals' decisions, individually and jointly, is a necessary next step to guide deimplementation.

Methods

A factorial survey experiment was employed using vignettes that presented hypothetical medical scenarios among 593 Swedish primary care physicians. Each vignette varied systematically by factors such as patient age, patient request for the LVC, physician's perception of this practice, practice cost to the primary care centre and time taken to deliver it. For each scenario, we measured the reported likelihood of providin

SUBMITTER: Roczniewska M 

PROVIDER: S-EPMC12418588 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature