Catalan experience of deadoption of low-value practices in primary care

BMJ Open Quality

article

Cari Almazán¹  Johanna Milena Caro-Mendivelso²  Montse Mias¹  Leslie Barrionuevo-Rosas¹  Montse Moharra¹  Marie-Pierre Gagnon⁴ 

[1] Agencia de Qualitat i Avaluacio Sanitaries de Catalunya;CIBER de Epidemiología y Salud Pública;Agency for Health Quality and Assessment of Catalonia;Faculty of Nursing Sciences , Université Laval;VITAM Center for Sustainable Health Research

关键词: primary care;    implementation science;    evidence-based practice;    healthcare quality improvement;   

DOI  :  10.1136/bmjoq-2020-001065

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Reducing ineffective practices is one way to ensure high-quality and efficient healthcare for the population. For this reason, several initiatives have been implemented worldwide to reduce low-value care. This article describes the experience of the Essencial project, a multifaceted deadoption strategy implemented in the Catalan primary care system. Lessons learnt from this project include the importance of considering the local context in deadoption strategies, providing adequate training and communication material to patients and clinicians and supporting the key role of clinical champions. Given the knowledge gaps regarding the conditions for successful deadoption strategies, the Catalan experience could provide enlightenment on how to implement, evaluate and sustain a large-scale collaborative deadoption strategy in primary healthcare.primary careimplementation scienceevidence-based practicehealthcare quality improvementData availability statementData sharing not applicable as no datasets generated and/or analysed for this study. All relevant data and associate publications are available from the authors upon request.http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND