In search of professional consensus in defining and reducing low-value care

Scott, Ian A. and Duckett, Stephen J. (2015) In search of professional consensus in defining and reducing low-value care. Medical Journal of Australia, 203 4: 179-181.e1. doi:10.5694/mja14.01664

Author Scott, Ian A.
Duckett, Stephen J.
Title In search of professional consensus in defining and reducing low-value care
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 1326-5377
Publication date 2015-08-17
Year available 2015
Sub-type Article (original research)
DOI 10.5694/mja14.01664
Open Access Status Not Open Access
Volume 203
Issue 4
Start page 179
End page 181.e1
Total pages 4
Place of publication Australasian Medical Publishing Company
Publisher Australasian Medical Publishing Co. Ltd
Language eng
Abstract Care that confers no benefit or benefit that is disproportionately low compared with its cost is of low value and potentially wastes limited resources. It has been claimed that low-value care consumes at least 20% of health care resources in the United States — the comparable figure in Australia is unknown but there is emerging evidence of overuse of diagnostic tests and therapeutic procedures. Very few clinical interventions are of no value in every clinical circumstance, and efforts to label interventions as being so will meet with professional resistance. In the context of complex and highly individualised clinical decisions, nuanced clinical judgements of experienced and well informed clinicians are likely to outperform any service-level measurement and incentive program aimed at recognising and reducing low-value care. Public policy interventions should focus on supporting clinician-led efforts to seek professional consensus on what constitutes low-value care and the best means for reducing it.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
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