Engaging patients in de-implementation interventions to reduce low-value clinical care: a systematic review and meta-analysis.

ABSTRACT:

Background

Many decisions regarding health resource utilization flow through the patient-clinician interaction. Thus, it represents a place where de-implementation interventions may have considerable effect on reducing the use of clinical interventions that lack efficacy, have risks that outweigh benefits, or are not cost-effective (i.e., low-value care). The objective of this systematic review with meta-analysis was to determine the effect of de-implementation interventions that engage patients within the patient-clinician interaction on use of low-value care.

Methods

MEDLINE, EMBASE, and CINAHL were searched from inception to November 2019. Gray literature was searched using the CADTH tool. Studies were screened independently by two reviewers and were included if they (1)

SUBMITTER: Sypes EE 

PROVIDER: S-EPMC7206676 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature