Division of Endocrinology, Department of Medicine, University of Florida, 1600 SW Archer Road, Room H2, Gainesville, FL, 32606, USA.
Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Endocrine. 2021 Aug;73(2):292-300. doi: 10.1007/s12020-021-02732-y. Epub 2021 May 11.
Low-value care exposes patients to ineffective, costly, and potentially harmful care. In endocrinology, low-value care practices are common in the care of patients with highly prevalent conditions. There is an urgent need to move past the identification of these practices to an active process of de-implementation. However, clinicians, researchers, and other stakeholders might lack familiarity with the frameworks and processes that can help guide successful de-implementation. To address this gap and support the de-implementation of low-value care, we provide a summary of low-value care practices in endocrinology and a primer on the fundamentals of de-implementation science. Our goal is to increase awareness of low-value care within endocrinology and suggest a path forward for addressing low-value care using principles of de-implementation science.
低价值医疗会使患者接受无效、昂贵且可能有害的治疗。在内分泌学中,在治疗高发疾病的患者时,低价值的医疗实践很常见。现在迫切需要从识别这些实践转变为积极的实施取消过程。然而,临床医生、研究人员和其他利益相关者可能对有助于指导成功实施取消的框架和流程不太熟悉。为了解决这一差距并支持取消低价值医疗,我们总结了内分泌学中的低价值医疗实践,并介绍了实施取消科学的基础知识。我们的目标是提高内分泌学领域对低价值医疗的认识,并提出利用实施取消科学原则解决低价值医疗问题的途径。