Sökning: L773:2662 2211 >
Management strategi...
Management strategies to de-implement low-value care-an applied behavior analysis.
-
- Ingvarsson, Sara (författare)
- Karolinska Institutet,Karolinska Institutet, Sweden
-
- Hasson, Henna (författare)
- Karolinska Institutet,Karolinska Institutet, Sweden
-
- Augustsson, Hanna (författare)
- Unit for Implementation and Evaluation, Center for Epidemiology and Community Medicine (CES), Stockholm Region, Sweden; Unit for Implementation and Evaluation, Center for Epidemiology and Community Medicine (CES), Stockholm Region, Sweden,Karolinska Institutet, Sweden
-
visa fler...
-
- Nilsen, Per, 1960- (författare)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för samhälle och hälsa,Department of Health, Medical and Caring Sciences, Division of Public Health, Linköping University, Linköping, Sweden
-
- von Thiele Schwarz, Ulrica, 1975- (författare)
- Mälardalens universitet,Karolinska Institutet,Hälsa och välfärd,HAL
-
- Sandaker, Ingunn (författare)
- SCBE Research Group, Department of Behavioral Science, Faculty of Health Sciences, Oslo Metropolitan University, Norway
-
visa färre...
-
(creator_code:org_t)
- 2022-06-25
- 2022
- Engelska.
-
Ingår i: Implementation Science Communications. - : BioMed Central (BMC). - 2662-2211. ; 3:1
- Relaterad länk:
-
https://liu.diva-por... (primary) (Raw object)
-
visa fler...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
http://kipublication...
-
https://urn.kb.se/re...
-
visa färre...
Abstract
Ämnesord
Stäng
- BACKGROUND: There is a lack of knowledge about management strategies being used to de-implement low-value care (LVC). Furthermore, it is not clear from the current literature what mechanisms are involved in such strategies and how they can change physicians' behaviors. Understanding the mechanisms is important for determining a strategy's potential impact. Applied behavior analysis focuses on processes involved in increasing and decreasing behaviors. Therefore, the aim of this study is to understand what management strategies are being used to de-implement LVC and the possible mechanisms involved in those strategies, using concepts from applied behavior analysis.METHOD: We applied a qualitative study design using an inductive approach to understand what management strategies are in use and then employed applied behavior analysis concepts to deductively analyze the mechanisms involved in them.RESULTS: We identified eight different management strategies intended to influence LVC. Five of the strategies were developed at a regional level and had the potential to influence physicians' LVC-related behaviors either by functioning as rules on which LVC to de-implement or by initiating local strategies in each health care center that in turn could influence LVC practices. The local strategies had a stronger potential for influencing de-implementation.CONCLUSION: Both strategies at a systemic level (regional) and on a local level (health care centers) must be considered to influence LVC-related behaviors. Strategies at the center level have a specific opportunity to impact LVC-related behaviors because they can be tailored to specific circumstances, even though some of them probably were initiated as an effect of strategies on a regional level. Using applied behavior analysis to understand these circumstances can be helpful for tailoring strategies to reduce LVC use.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Nyckelord
- Applied behavior analysis
- De-implementation
- Low-value care
- Physicians
- Primary health care
- Rule-governed behavior
- Sweden
- Three-term contingency
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas