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Updated: Jan 6, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
[New international definition and classification of low-value care in the health system performance assessment]
11 Országos Kórházi Főigazgatóság, Minőségirányítási Iroda Budapest Magyarország.
Abstract:
The aim of this article is to present the new definition and classification of low-value healthcare services, developed by the European Commission’s Health Systems Performance Assessment Expert Group. The new definition and detailed description identify three main categories: overuse, misuse, and underuse of healthcare services, and one supplementary category: unwarranted and unjustified variations. The main categories are divided into nine subgroups/types, briefly outlined herein. The paper also reviews potential methods for measuring and monitoring low-value care, as well as strategies for reducing its incidence. Compared to earlier definitions, this new framework is more comprehensive, encompassing a broader range of low-value care situations. It provides healthcare leaders with expanded opportunities to detect and address low-value practices, thereby supporting improvements in healthcare delivery at both national and regional levels. Importantly, the published report offers practical guidance on recognizing and quantifying low-value care, alongside actionable intervention strategies for its reduction, making it a valuable resource for healthcare decision-makers. Orv Hetil. 2025; 166(44): 1722–1729.
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