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Sociocognitive approach to behaviour change for reducing low-value care.
Ian A Scott1, Steven M McPhail2
1Department of Internal Medicine and Clinical Epidemiology, Level 5A, Princess Alexandra Hospital, Ipswich Road, Brisbane, Qld 4102, Australia; and School of Clinical Medicine, University of Queensland, Translational Research Institute, 31 Trent Street, Woolloongabba, Qld 4102, Australia; and Corresponding author.
Summary
Understanding social and cognitive factors is key to reducing low-value care (LVC). A sociocognitive approach, alongside traditional methods, can improve clinician behavior and decrease LVC.
Area of Science:
- Healthcare Management
- Behavioral Science
- Medical Ethics
Background:
- Low-value care (LVC) represents a significant challenge in healthcare systems globally.
- Current strategies for reducing LVC often focus on knowledge translation, potentially overlooking crucial underlying factors.
- Clinician behavior is a central element in the perpetuation of LVC.
Purpose of the Study:
- To highlight the underarticulated role of social and cognitive factors in LVC.
- To propose a sociocognitive approach as a complementary strategy to traditional methods for reducing LVC.
- To enhance the understanding and modification of clinician behavior related to LVC.
Main Methods:
- This study employs a conceptual and literature-based approach.
- It reviews existing knowledge translation strategies for LVC.
- It introduces a sociocognitive framework to analyze clinician decision-making in LVC.
Main Results:
- Social and cognitive biases significantly influence the adoption of LVC.
- Traditional knowledge translation alone may be insufficient to address these deep-seated factors.
- A sociocognitive perspective offers a more comprehensive understanding of LVC.
Conclusions:
- Integrating sociocognitive strategies with knowledge translation can more effectively reduce LVC.
- Addressing the social and cognitive underpinnings of clinician behavior is essential for successful LVC reduction campaigns.
- Future interventions should incorporate a nuanced understanding of behavioral science to optimize healthcare value.
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