De-implementing low-value care in endocrinology.

De-implementing low-value care in endocrinology.
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DOI:
10.1007/s12020-021-02732-y
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发表时间:
2021-08
期刊:
影响因子:
3.7
通讯作者:
Brito JP
Brito JP
中科院分区:
医学3区
文献类型:
--
作者:
Ospina NS;Salloum RG;Maraka S;Brito JP

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低价值护理使患者面临无效、昂贵且可能有害的护理。在内分泌学领域,低价值护理实践在高发病率患者的护理中很常见。迫切需要从识别这些做法转向积极的取消实施过程。然而,临床医生、研究人员和其他利益相关者可能不熟悉有助于指导成功取消实施的框架和流程。为了解决这一差距并支持取消低价值护理的实施,我们提供了内分泌学中低价值护理实践的总结以及取消实施科学基础知识的入门读物。我们的目标是提高内分泌学领域对低价值护理的认识,并提出利用去实施科学原理解决低价值护理的前进道路。
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 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.
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