Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jan;19(1):57-61.
doi: 10.1002/jhm.13257. Epub 2023 Dec 13.

Methodological progress note: De-implementation of low-value care

Sunil Kripalani  1   2   3 , Wynne E Norton  4
Affiliations

Methodological progress note: De-implementation of low-value care

Sunil Kripalani et al. J Hosp Med. 2024 Jan.

Abstract

De-implementation is the process of reducing or stopping the use of ineffective, harmful, or low-value healthcare services that provide little or no benefit to patients. This article reviews relevant frameworks for planning and evaluating de-implementation initiatives, describes unique barriers, and provides effective strategies for de-implementation in Hospital Medicine.

PubMed Disclaimer

Conflict of interest statement

Disclosures: The authors have no relevant conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Framework for de-implementation.
See this image and copyright information in PMC

References

    1. Sorenson C, Japinga M, Crook H. Low-value care de-implementation: practices for systemwide reduction. NEJM Catal Innov Care Deliv. 2022;3(5). doi:10.1056/CAT.21.0387 - DOI
    1. Bulger J, Nickel W, Messler J, et al. Choosing wisely in adult hospital medicine: five opportunities for improved healthcare value. Review. J Hosp Med. 2013;8(9):486–92. doi:10.1002/jhm.2063 - DOI - PubMed
    1. Walsh-Bailey C, Tsai E, Tabak RG, et al. A scoping review of de-implementation frameworks and models. Implement Sci. 2021;16(1):100. doi:10.1186/s13012-021-01173-5 - DOI - PMC - PubMed
    1. Norton WE, Chambers DA, Kramer BS. Conceptualizing de-implementation in cancer care delivery. J Clin Oncol. 2019;37(2):93–96. doi:10.1200/JCO.18.00589 - DOI - PubMed
    1. Norton WE, Chambers DA. Unpacking the complexities of de-implementing inappropriate health interventions. Implement Sci. 2020;15(1):2. doi:10.1186/s13012-019-0960-9 - DOI - PMC - PubMed

Publication types

LinkOut - more resources