Barriers and facilitators to reduce low-value care: a qualitative evidence synthesis.

ABSTRACT:

Objective

To assess barriers and facilitators to de-implementation.

Design

A qualitative evidence synthesis with a framework analysis.

Data sources

Medline, Embase, Cochrane Library and Rx for Change databases until September 2018 were searched.

Eligibility criteria

We included studies that primarily focused on identifying factors influencing de-implementation or the continuation of low-value care, and studies describing influencing factors related to the effect of a de-implementation strategy.

Data extraction and synthesis

The factors were classified on five levels: individual provider, individual patient, social context, organisational context, economic/political context.

Results

We identified 333 factors in 81 articles. Factors related to the i

SUBMITTER: van Dulmen SA 

PROVIDER: S-EPMC7604848 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature