Protection against the overuse and underuse of health care - methodological considerations for establishing prioritization criteria and recommendations in general practice.

Abstract:

BACKGROUND:Initiatives such as "Choosing Wisely" in the USA and "Smarter Medicine" in Switzerland have published lists of widely overused health care services. The German initiative "Choosing Wisely Together (Gemeinsam Klug Entscheiden)" follows this example. The goal of our study was to prioritize important recommendations against the overuse and underuse of health care services. The final list of recommendations will be published in the German guideline "Protection against the overuse and underuse of health care". METHODS:First, a multidisciplinary expert panel established a catalogue of prioritization criteria. Second, we extracted all the recommendations from evidence- and consensus-based German College of General Practice and Family Medicine (DEGAM) guidelines and National Health Care Guidelines (NVL). Third, the recommendations were rated by two independent panels (general practitioners and other health care professionals involved/not involved in guideline development). The prioritization process was finalized in a consensus conference held by DEGAM's Standing Guideline Committee (SLK). RESULTS:Eleven prioritization criteria were established. A total of 782 recommendations were extracted and rated by 98 physicians and other health care professionals in a survey. In the voting process, more than 80% of the recommendations were eliminated. After the final consensus conference, twelve recommendations from DEGAM guidelines, nine DEGAM addenda and 17 NVL recommendations were chosen for inclusion in the guideline, for a total of 38 recommendations. CONCLUSION:The selection procedure proved helpful in identifying the highest priority recommendations with which to combat the overuse and underuse of health care services. To date, in Germany there has been no attempt to compile such a list by using a systematic and transparent methodology. Hence, the guideline that results from this process can fill an important gap.

journal_name

BMC Health Serv Res

authors

Muche-Borowski C,Abiry D,Wagner HO,Barzel A,Lühmann D,Egidi G,Kühlein T,Scherer M

doi

10.1186/s12913-018-3569-9

subject

Has Abstract

pub_date

2018-10-11 00:00:00

pages

768

issue

1

issn

1472-6963

pii

10.1186/s12913-018-3569-9

journal_volume

18

pub_type

杂志文章
  • Bypassing birthing centres for child birth: a community-based study in rural Chitwan Nepal.

    abstract:BACKGROUND:Child delivery in a health facility is important to reduce maternal mortality. Bypassing nearby birthing facility to deliver at a hospital is common in developing countries including Nepal. Very little is known about the extent and determinants of bypassing the birthing centres in Nepal. This study measures ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1848-x

    authors: Shah R

    更新日期:2016-10-21 00:00:00

  • Predictors of preferred location of care in middle-aged individuals of a municipality in Japan: a cross-sectional survey.

    abstract:BACKGROUND:Japan has the highest rate of aging. To contain Long-Term Care (LTC) Insurance costs, the Japanese government is attempting to increase the proportion of individuals receiving home care services. However, demand for institutional care is increasing. These circumstances will decrease the sustainability of the...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2293-1

    authors: Sugimoto K,Kashiwagi M,Tamiya N

    更新日期:2017-05-15 00:00:00

  • Emotional intelligence, emotional labor, and job satisfaction among physicians in Greece.

    abstract:BACKGROUND:There is increasing evidence that psychological constructs, such as emotional intelligence and emotional labor, play an important role in various organizational outcomes in service sector. Recently, in the "emotionally charged" healthcare field, emotional intelligence and emotional labor have both emerged as...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-463

    authors: Psilopanagioti A,Anagnostopoulos F,Mourtou E,Niakas D

    更新日期:2012-12-17 00:00:00

  • How personal and standardized coordination impact implementation of integrated care.

    abstract:BACKGROUND:Integrating health care across specialized work units has the potential to lower costs and increase quality and access to mental health care. However, a key challenge for healthcare managers is how to develop policies, procedures, and practices that coordinate care across specialized units. The purpose of th...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-015-1079-6

    authors: Benzer JK,Cramer IE,Burgess JF Jr,Mohr DC,Sullivan JL,Charns MP

    更新日期:2015-10-02 00:00:00

  • Patient satisfaction is biased by renovations to the interior of a primary care office: a pretest-posttest assessment.

    abstract:BACKGROUND:Measuring quality of care is essential to improve primary care. Quality of primary care for patients is usually assessed by patient satisfaction questionnaires. However, patients may not be able to judge quality of care without also reflecting their perception of the environment. We determined the effect tha...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-016-1647-4

    authors: Tièche R,da Costa BR,Streit S

    更新日期:2016-08-11 00:00:00

  • Mundane? Demographic characteristics as predictors of enrolment onto the National Health Insurance Scheme in two districts of Ghana.

    abstract:BACKGROUND:In 2003, Ghana passed a law to establish a National Health Insurance Scheme (NHIS) to serve as the main vehicle for achieving universal health coverage. Over 60% of the population had registered by 2009. Current active membership is however 40%. The stagnation in growth has been recorded across all the membe...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3155-1

    authors: Seddoh A,Sataru F

    更新日期:2018-05-04 00:00:00

  • Is it time to rethink how we page physicians? Understanding paging patterns in a tertiary care hospital.

    abstract:BACKGROUND:Frequent pages can disrupt workflow, interrupt patient care, and may contribute to physician burnout. We hypothesized that paging volumes followed consistent temporal trends, regardless of the medical or surgical service, reflecting systems based issues present in our hospitals. METHODS:A retrospective revi...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-019-4844-0

    authors: Witherspoon L,Nham E,Abdi H,Dergham A,Skinner T,Oake JS,Watterson J,Lavallée LT

    更新日期:2019-12-23 00:00:00

  • The cost of dialysis in low and middle-income countries: a systematic review.

    abstract:BACKGROUND:The cost of dialysis in low and middle-Income countries has not been systematically reviewed. The objective of this article is to systematically review peer-reviewed articles on the cost of dialysis across low and middle-income countries. METHODS:PubMed and Embase databases were searched for the year 1998 t...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-015-1166-8

    authors: Mushi L,Marschall P,Fleßa S

    更新日期:2015-11-12 00:00:00

  • Implementing a guideline for the treatment of type 2 diabetics: results of a cluster-randomized controlled trial (C-RCT).

    abstract:BACKGROUND:In Italy many diabetics still lack adequate care in general practice. We assessed the effectiveness of different strategies for the implementation of an evidence-based guideline for the management of non-complicated type 2 diabetes among General Practitioners (GPs) of Lazio region. METHODS:Three-arm cluster...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-7-79

    authors: Perria C,Mandolini D,Guerrera C,Jefferson T,Billi P,Calzini V,Fiorillo A,Grasso G,Leotta S,Marrocco W,Suraci C,Pasquarella A

    更新日期:2007-06-04 00:00:00

  • What makes primary care effective for people in poverty living with multiple chronic conditions?: study protocol.

    abstract:BACKGROUND:The inverse care law persists: people living in poverty have the greatest needs and face considerable challenges in getting the care they need. Evidence reveals that GPs encounter difficulties in delivering care to poor patients, while many of those patients feel stigmatized by healthcare professionals. Pati...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-320

    authors: Loignon C,Haggerty JL,Fortin M,Bedos CP,Barbeau D,Allen D

    更新日期:2010-11-30 00:00:00

  • Implementation of clinical practice guidelines on lifestyle interventions in Swedish primary healthcare - a two-year follow up.

    abstract:BACKGROUND:Implementation of interventions concerning prevention and health promotion in health care has faced particular challenges resulting in a low frequency and quality of these services. In November 2011, the Swedish National Board of Health and Welfare released national clinical practice guidelines to counteract...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3023-z

    authors: Kardakis T,Jerdén L,Nyström ME,Weinehall L,Johansson H

    更新日期:2018-04-02 00:00:00

  • The quality of maternal-fetal and newborn care services in Jordan: a qualitative focus group study.

    abstract:BACKGROUND:The antenatal, intrapartum, and postnatal periods are considered high-risk periods for the health of mothers and their newborns. Although the current utilization rate of some maternal and child care services in Jordan is encouraging, detailed information about the quality of these services is limited. Theref...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4232-9

    authors: Alyahya MS,Khader YS,Batieha A,Asad M

    更新日期:2019-06-26 00:00:00

  • Chronic disease management: a qualitative study investigating the barriers, facilitators and incentives perceived by Swiss healthcare stakeholders.

    abstract:BACKGROUND:Chronic disease management has been implemented for some time in several countries to tackle the increasing burden of chronic diseases. While Switzerland faces the same challenge, such initiatives have only emerged recently in this country. The aim of this study is to assess their feasibility, in terms of ba...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-176

    authors: Lauvergeon S,Burnand B,Peytremann-Bridevaux I

    更新日期:2012-06-22 00:00:00

  • Quantitative evaluation of essential medicines lists: the South African case study.

    abstract:BACKGROUND:The South African (SA) health system has employed an Essential Medicines List (EML) with Standard Treatment Guidelines (STGs) since 1996. To date no studies have reported the changes in SA STG/EMLs. This study describes these changes over time (1996-2013) and compares latest SA STG/EMLs with the latest World...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1937-x

    authors: Perumal-Pillay VA,Suleman F

    更新日期:2016-12-12 00:00:00

  • Comparison of patient preferences for fecal immunochemical test or colonoscopy using the analytic hierarchy process.

    abstract:BACKGROUND:In average-risk individuals aged 50 to 75 years, there is no difference in life-years gained when comparing colonoscopy every 10 years vs. annual fecal immunochemical testing (FIT) for colorectal cancer screening. Little is known about the preferences of patients when they have experienced both tests. METHO...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0841-0

    authors: Xu Y,Levy BT,Daly JM,Bergus GR,Dunkelberg JC

    更新日期:2015-04-23 00:00:00

  • Design and methods for a randomized clinical trial comparing three outreach efforts to improve screening mammography adherence.

    abstract:BACKGROUND:Despite the demonstrated need to increase screening mammography utilization and strong evidence that mail and telephone outreach to women can increase screening, most managed care organizations have not adopted comprehensive outreach programs. The uncertainty about optimum strategies and cost effectiveness h...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1472-6963-11-145

    authors: Costanza ME,Luckmann R,White MJ,Rosal MC,Cranos C,Reed G,Clark R,Sama S,Yood R

    更新日期:2011-06-03 00:00:00

  • The distribution of maternity services across rural and remote Australia: does it reflect population need?

    abstract:BACKGROUND:Australia has a universal health care system and a comprehensive safety net. Despite this, outcomes for Australians living in rural and remote areas are worse than those living in cities. This study will examine the current state of equity of access to birthing services for women living in small communities ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2084-8

    authors: Rolfe MI,Donoghue DA,Longman JM,Pilcher J,Kildea S,Kruske S,Kornelsen J,Grzybowski S,Barclay L,Morgan GG

    更新日期:2017-02-23 00:00:00

  • Associations between utilization rates and patients' health: a study of spine surgery and patient-reported outcomes (EQ-5D and ODI).

    abstract:BACKGROUND:A vast body of literature has documented regional variations in healthcare utilization rates. The extent to which such variations are "unwarranted" critically depends on whether there are corresponding variations in patients' needs. Using a unique medical registry, the current paper investigated any associat...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-4968-2

    authors: Rudolfsen JH,Solberg TK,Ingebrigtsen T,Olsen JA

    更新日期:2020-02-22 00:00:00

  • Clinicians adopting evidence based guidelines: a case study with thromboprophylaxis.

    abstract:BACKGROUND:Venous Thromboembolism (VTE) is a cause of hospital mortality and managing its morbidity is associated with significant expenditure. Uptake of evidenced based guideline recommendations intended to prevent VTE in hospital settings is sub-optimal. This study was conducted to explore clinicians' attitudes and t...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1472-6963-11-240

    authors: Chapman NH,Lazar SP,Fry M,Lassere MN,Chong BH

    更新日期:2011-09-28 00:00:00

  • Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare.

    abstract:BACKGROUND:Quality improvement initiatives have expanded recently within the healthcare sector. Studies have shown that less than 40% of these initiatives are successful, indicating the need for an instrument that can measure the progress and results of quality improvement initiatives and answer questions about how qua...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-48

    authors: Andersson AC,Elg M,Perseius KI,Idvall E

    更新日期:2013-02-07 00:00:00

  • Trajectory modelling of ambulatory care sensitive conditions in Finland in 1996-2013: assessing the development of equity in primary health care through clustering of geographic areas - an observational retrospective study.

    abstract:BACKGROUND:Due to stagnating resources and an increase in staff workload, the quality of Finnish primary health care (PHC) is claimed to have deteriorated slowly. With a decentralised PHC organisation and lack of national stewardship, it is likely that municipalities have adopted different coping strategies, predisposi...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4449-7

    authors: Satokangas M,Lumme S,Arffman M,Keskimäki I

    更新日期:2019-09-04 00:00:00

  • Determinants of adherence to wrap-around care in child and family services.

    abstract:BACKGROUND:The aim of this study is to understand the determinants of adherence to wrap-around care (WAC) by professional care providers working in child and family services. WAC is a care coordination method targeting families with complex needs. The core components of WAC involve activating family members and the soc...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3774-6

    authors: Pannebakker NM,Fleuren MAH,Vlasblom E,Numans ME,Reijneveld SA,Kocken PL

    更新日期:2019-01-28 00:00:00

  • The effects of improving hospital physicians working conditions on patient care: a prospective, controlled intervention study.

    abstract:BACKGROUND:Physicians, particularly in hospitals, suffer from adverse working conditions. There is a close link between physicians' psychosocial work environment and the quality of the work they deliver. Our study aimed to explore whether a participatory work-design intervention involving hospital physicians is effecti...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-401

    authors: Weigl M,Hornung S,Angerer P,Siegrist J,Glaser J

    更新日期:2013-10-09 00:00:00

  • Exploring providers' perspectives of a community based TB approach in Southern Ethiopia: implication for community based approaches.

    abstract:BACKGROUND:There is increasing interest in the role of close-to-community providers in supporting universal health coverage, but questions remain about the best approaches to supporting and motivating these providers, and the optimal package they can deliver indifferent contexts and support required. We report on the e...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-1149-9

    authors: Datiko DG,Yassin MA,Tulloch O,Asnake G,Tesema T,Jamal H,Markos P,Cuevas LE,Theobald S

    更新日期:2015-11-09 00:00:00

  • Using an action learning methodology to develop skills of health managers: experiences from KwaZulu-Natal, South Africa.

    abstract:BACKGROUND:Strong management skills are key to improving performance of health systems. Action learning, a technique to develop management skills, has been used successfully with health managers but not usually among lower level managers or in low and middle-income countries (LMICs). METHODS:This study uses a qualitat...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-3693-6

    authors: Masango-Muzindutsi Z,Haskins L,Wilford A,Horwood C

    更新日期:2018-11-29 00:00:00

  • Defining ambulatory care sensitive conditions for adults in Portugal.

    abstract:BACKGROUND:Ambulatory Care Sensitive Conditions (ACSCs) are health conditions for which adequate management, treatment and interventions delivered in the ambulatory care setting could potentially prevent hospitalization. Which conditions are sensitive to ambulatory care varies according to the scope of health care serv...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05620-9

    authors: Sarmento J,Rocha JVM,Santana R

    更新日期:2020-08-15 00:00:00

  • Identification of psychiatric patients with high mortality and low medical utilization: a population-based propensity score-matched analysis.

    abstract:BACKGROUND:The decreased life expectancy and care costs of mental disorders could be enormous. However, research that compares mortality and utilization concurrently across the major category of mental disorders is absent. This study investigated all-cause mortality and medical utilization among patients with and witho...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05089-6

    authors: Wang JY,Chang CC,Lee MC,Li YJ

    更新日期:2020-03-18 00:00:00

  • Where's the evidence? a systematic review of economic analyses of residential aged care infrastructure.

    abstract:BACKGROUND:Residential care infrastructure, in terms of the characteristics of the organisation (such as proprietary status, size, and location) and the physical environment, have been found to directly influence resident outcomes. This review aimed to summarise the existing literature of economic evaluations of reside...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-017-2165-8

    authors: Easton T,Milte R,Crotty M,Ratcliffe J

    更新日期:2017-03-21 00:00:00

  • Models of reablement evaluation (MoRE): a study protocol of a quasi-experimental mixed methods evaluation of reablement services in England.

    abstract:BACKGROUND:Reablement is a time-limited intervention that aims to support people to regain independence and enable them to resume their daily activities after they return home from an in-patient care setting, or to maintain independence to enable them to remain at home. There is some evidence that reablement can enhanc...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1600-6

    authors: Mann R,Beresford B,Parker G,Rabiee P,Weatherly H,Faria R,Kanaan M,Laver-Fawcett A,Pilkington G,Aspinal F

    更新日期:2016-08-11 00:00:00

  • Protocol for a longitudinal mixed methods realist evaluation of holistic needs assessment and care planning for people affected by cancer.

    abstract:BACKGROUND:In 2012, approximately 14 million new cases of cancer were diagnosed. As a result of advances in treatment, screening and prevention programmes the number of people surviving cancer globally is also increasing. The growing understanding of the diversity and scale of the need for support, compounded by the in...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-018-3373-6

    authors: Johnston L,Campbell K

    更新日期:2018-07-18 00:00:00