Author Interviews, Cost of Health Care, JAMA / 28.07.2019
Reducing Unnecessary Testing Without Harming Patient Outcomes
MedicalResearch.com Interview with:
Renuka S Bindraban, MD and
Prabath W. B. Nanayakkara, MD, PhD
Section of Acute Medicine
Department of Internal Medicine
Amsterdam Public Health Research Institute
Amsterdam UMC Vrije Universiteit Amsterdam,
Amsterdam, the Netherland
MedicalResearch.com: What is the background for this study?
Response: It is well known that a significant portion of healthcare activities is considered of low-value. Eliminating such low-value care is often targeted in efforts to both contain rapidly increasing healthcare costs as well as maintain high-quality care.
In this context, our study focused on reducing unnecessary laboratory testing. In 2008, our study group performed a multifaceted intervention aimed at reducing unnecessary diagnostic testing at the Internal Medicine department of the Amsterdam University Medical Center, location Vrije Universiteit (VU).
In the ‘Reduction of Unnecessary Diagnostics Through Attitude Change of the Caregivers’, we implemented this successful intervention in the Internal Medicine departments of four large teaching hospitals in the Netherlands. The intervention included creating awareness through education and feedback, intensified supervision of residents, and changes in order entry systems.
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