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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Exploring patients' perceptions of low-value care: An interview study.

Eva W Verkerk1, Julia A H Boekkooi1, Elmar G M Pels2

  • 1Department of IQ Healthcare, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.

Patient Education and Counseling
|March 23, 2023
PubMed
Summary
This summary is machine-generated.

Patients perceive low-value care as redundant, ill-fitting, or preventable services. Poor communication and rigid protocols drive this, impacting patient burden and healthcare costs.

Keywords:
Low-value careMedical overusePatient engagementPublic opinionQualitative research

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Area of Science:

  • Health Services Research
  • Patient-Centered Care
  • Healthcare Quality Improvement

Background:

  • Clinicians identify patient expectations as a key driver of low-value care.
  • Limited understanding exists regarding patients' perspectives on low-value care.

Purpose of the Study:

  • To explore patients' perceptions of low-value care.
  • To understand patient experiences, consequences, and potential solutions for low-value care.

Main Methods:

  • Semi-structured interviews were conducted with 24 patients in the Netherlands.
  • Inductive thematic analysis was used to analyze interview data.

Main Results:

  • Patients identified duplicate, preference-mismatching, inefficient, and preventable care as low-value.
  • Poor clinician-patient communication and protocol adherence over individualization were cited as primary causes.
  • Consequences included patient burden, increased healthcare costs, and reduced capacity for high-value care.

Conclusions:

  • Patients' understanding of low-value care encompasses more than just medical ineffectiveness.
  • Patient experiences offer valuable insights for reducing perceived low-value care.
  • Engaging patients is crucial for future de-implementation studies, as they can advocate for change.