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. 2022 Mar;11(1):e001065.
doi: 10.1136/bmjoq-2020-001065.

Catalan experience of deadoption of low-value practices in primary care

Cari Almazán  1   2 , Johanna Milena Caro-Mendivelso  2   3 , Montse Mias  1 , Leslie Barrionuevo-Rosas  1 , Montse Moharra  1 , Marie-Pierre Gagnon  4   5
Affiliations

Catalan experience of deadoption of low-value practices in primary care

Cari Almazán et al. BMJ Open Qual. 2022 Mar.

Abstract

Reducing ineffective practices is one way to ensure high-quality and efficient healthcare for the population. For this reason, several initiatives have been implemented worldwide to reduce low-value care. This article describes the experience of the Essencial project, a multifaceted deadoption strategy implemented in the Catalan primary care system. Lessons learnt from this project include the importance of considering the local context in deadoption strategies, providing adequate training and communication material to patients and clinicians and supporting the key role of clinical champions. Given the knowledge gaps regarding the conditions for successful deadoption strategies, the Catalan experience could provide enlightenment on how to implement, evaluate and sustain a large-scale collaborative deadoption strategy in primary healthcare.

Keywords: evidence-based practice; healthcare quality improvement; implementation science; primary care.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Implementation phases of the Essencial project. PCT, primary care team; LVP, low-value practice
Figure 2
Figure 2
Screenshot of indicator monitoring regarding de-adoption recommendations provided to Essencial Project Primary Care Teams. SISAP = Sistema d’informació dels serveis d’atenció primària (Primary Care Information System); EAP, Equip d'atenció primària (Primary Care Team).
See this image and copyright information in PMC

References

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