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Imagining a world without low-value services: progress, barriers, and the path forward.

Dhruv Khullar1, Carrie H Colla, Kevin G Volpp

  • 1Department of Population Health Sciences, Weill Cornell Medical College, 402 E 67th St, New York, NY 10065.

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Summary
This summary is machine-generated.

The COVID-19 pandemic presents a chance to reduce low-value healthcare services. Addressing financial and clinical barriers can accelerate the shift toward high-value care delivery for better patient outcomes.

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Area of Science:

  • Health Services Research
  • Healthcare Policy
  • Clinical Economics

Background:

  • Low-value healthcare services represent a significant challenge within the US healthcare system.
  • The COVID-19 pandemic has created a unique opportunity to re-evaluate and reform practices related to low-value care.

Purpose of the Study:

  • To explore existing barriers hindering the adoption of high-value care.
  • To identify opportunities for accelerating the transition from low-value to high-value healthcare services.

Main Methods:

  • Analysis of financial and non-financial incentives influencing care delivery.
  • Examination of clinical decision-making uncertainty and patient-family engagement.
  • Exploration of potential strategies to reduce low-value services.

Main Results:

  • Barriers include misaligned incentives, clinical uncertainty, and inadequate patient partnerships.
  • Proposed solutions involve simplifying the process for clinicians to decline low-value services.
  • Recommendations include developing value-based "report cards" and educating stakeholders on the harms of low-value care.

Conclusions:

  • The pandemic offers a critical juncture to implement changes promoting high-value care.
  • Systemic changes are needed to support clinicians in reducing low-value services.
  • Enhanced patient communication regarding the multifaceted harms of low-value care is essential.