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Deimplementation of Ineffective and Harmful Medical Practices: A Data-Driven Commentary.
Pineles, Beth L; Bonafide, Christopher P; Ashcraft, Laura Ellen.
Afiliação
  • Pineles BL; Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
  • Bonafide CP; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
  • Ashcraft LE; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.
Am J Epidemiol ; 2024 Aug 14.
Article em En | MEDLINE | ID: mdl-39142696
ABSTRACT
Deimplementation is the discontinuation or abandonment of medical practices that are ineffective or of unclear effectiveness, ranging from simply unhelpful to harmful. With epidemiology expanding to include more translational sciences, epidemiologists can contribute to deimplementation through defining evidence, establishing causality, and advising on study design. An estimated 10-30% of healthcare practices have minimal to no benefit to patients and should be targeted for deimplementation. The steps in deimplementation are 1) identify low-value clinical practices, 2) facilitate the deimplementation process, 3) evaluate deimplementation outcomes, and 4) sustain deimplementation, each of which is a complex project. Deimplementation science involves researchers, healthcare and clinical stakeholders, and patient and community partners affected by the medical practice. Increasing collaboration between epidemiologists and implementation scientists is important to optimizing health care delivery.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: Am J Epidemiol Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: Am J Epidemiol Ano de publicação: 2024 Tipo de documento: Article