Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
J Hosp Med. 2024 Jan;19(1):57-61. doi: 10.1002/jhm.13257. Epub 2023 Dec 13.
De-implementation is the process of reducing or stopping the use of ineffective, harmful, or low-value healthcare services that provide little or no benefit to patients. This article reviews relevant frameworks for planning and evaluating de-implementation initiatives, describes unique barriers, and provides effective strategies for de-implementation in Hospital Medicine.
去实施是指减少或停止使用无效、有害或低价值的医疗服务的过程,这些服务对患者几乎没有益处。本文回顾了用于规划和评估去实施措施的相关框架,描述了独特的障碍,并提供了医院医学中去实施的有效策略。