From: Understanding the public’s role in reducing low-value care: a scoping review
Phase of de-implementationa | Operational definition | Example |
---|---|---|
Identify and prioritize low-value clinical practices | 1) The public’s conceptual understanding of low-value care 2) The public’s involvement in identifying or prioritizing low-value practices for de-implementation | 1) A survey asking members of the public to describe low-value care 2) Patient and provider co-creation of a priority list of practices for de-implementation |
Assess barriers and facilitators to de-implementation | The public’s perception of barriers and facilitators to reducing low-value care | Exploring patient perspectives on the demand for low-value care |
Select, tailor, and implement de-implementation intervention | Public involvement in developing interventions to reduce low-value care | Involving a patient representative in the design of an intervention to reduce a low-value practice |
Evaluate de-implementation process and outcomes | The public’s involvement in the evaluation of outcomes of an initiative to reduce low-value care | Inclusion of patient-reported outcomes in an intervention to reduce the use of a low-value practice |