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Related Experiment Video

Updated: Jun 18, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Economic evaluation of deimplementation interventions: a systematic review.

Comlan Lucien Hountongbé1, Jason Robert Guertin2, Soualio Gnanou3

  • 1Population Health and Optimal Health Practices Research Unit, Trauma-Emergency-Critical Care Medicine, CHU de Québec-Université Laval, Québec City, Québec, Canada comlan-lucien.hountongbe.1@ulaval.ca.

BMJ Quality & Safety
|June 16, 2026
PubMed
Summary
This summary is machine-generated.

Deimplementation interventions targeting low-value practices are highly cost-effective, reducing healthcare waste. These strategies offer economic benefits by eliminating unnecessary tests and treatments, improving healthcare value.

Keywords:
Audit and feedbackCost-effectivenessQuality improvement

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Operant Protocols for Assessing the Cost-benefit Analysis During Reinforced Decision Making by Rodents
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Last Updated: Jun 18, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

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Operant Protocols for Assessing the Cost-benefit Analysis During Reinforced Decision Making by Rodents
07:05

Operant Protocols for Assessing the Cost-benefit Analysis During Reinforced Decision Making by Rodents

Published on: September 10, 2018

Area of Science:

  • Health Economics
  • Healthcare Management
  • Evidence-Based Practice

Background:

  • Low-value practices constitute 20%-30% of healthcare expenditure and 16%-26% of primary care services.
  • Healthcare systems face increasing financial constraints, necessitating urgent evaluation of cost-effectiveness for interventions reducing low-value practices.

Purpose of the Study:

  • To synthesize economic data on deimplementation interventions.
  • To evaluate the cost-effectiveness of interventions aimed at reducing low-value practices.

Main Methods:

  • Systematic review and meta-analysis of deimplementation interventions targeting healthcare professionals and organizations.
  • Searches conducted across multiple databases (Cochrane, EMBASE, MEDLINE, CINAHL, Web of Science) up to February 2025.
  • Cost-effectiveness assessed using incremental cost-effectiveness ratios, incremental cost-utility ratios, and benefit-to-cost ratios; methodological quality evaluated using the Consensus on Health Economic Criteria (CHEC).

Main Results:

  • 19 studies met eligibility criteria from 35,575 records.
  • Deimplementation interventions were dominant (cost-saving and more effective) in 53% of evaluations.
  • Interventions were more likely to be economically favorable when accounting for all costs, targeting professionals, and in high-quality studies.

Conclusions:

  • Deimplementation interventions for low-value practices are generally cost-effective.
  • Results should be interpreted cautiously due to low study methodological quality and limited societal perspective.
  • Further high-quality research is needed to confirm economic benefits across diverse healthcare settings.