Prevalence and changes of low-value care at acute care hospitals: a multicentre observational study in Japan.

ABSTRACT:

Objectives

We aimed to examine the use and factors associated with the provision of low-value care in Japan.

Design

A multicentre observational study.

Setting

Routinely collected claims data that include all inpatient and outpatient visits in 242 large acute care hospitals (accounting for approximately 11% of all acute hospitalisations in Japan).

Participants

345 564 patients (median age (IQR): 62 (40-75) years; 182 938 (52.9%) women) seeking care at least once in the hospitals in the fiscal year 2019.

Primary and secondary outcome measures

We identified 33 low-value services, as defined by clinical evidence, and developed two versions of claims-based measures of low-value services with different sensitivity and specificity (broader and narrower definiti

SUBMITTER: Miyawaki A 

PROVIDER: S-EPMC9454035 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature