Assessing social values for California's efforts to reduce the overuse of unnecessary medical care.

ABSTRACT:

Background

A partnership of large health-care purchasers created a workgroup to reduce the overuse of harmful and wasteful medical care in California.

Objective

Employ a civic engagement process to identify the social values important to the public in considering different strategies to reduce overuse.

Intervention

Use of deliberation techniques for 3 case examples that explore possible strategies: physician oversight, physician compensation, increased patient cost-sharing or taking no definitive action.

Results

Five themes were identified, including strong support for physicians' leadership role to reduce overuse; nuanced enthusiasm for increasing patient cost-sharing to discourage excessive demand; and marked disapproval of physician compensation as a motivat

SUBMITTER: Perez SL 

PROVIDER: S-EPMC5867318 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature