Assessing volume and variation of low-value care practices in the Netherlands

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Assessing volume and variation of low-value care practices in the Netherlands

There have been contributions to quantify the volume of low-value care practices in the USA, Canada and Australia but we have no knowledge about the volume in Europe. The purpose of this study was to assess the volume and variation of Dutch low-value care practices.

We assessed the volume of three Choosing Wisely recommendations: low-back imaging by GPs, screening of patients over 75 years for colorectal cancer and diagnosing varices with Doppler or Plethysmography. recommendations showed a lot of practice variation; many healthcare providers did not order these low-value diagnostic tests; a minor part did order a substantial amount, low-back spine radiology in particular. These healthcare providers should start reducing these activities.

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Authors R.B. Kool, E.W. Verkerk, J. Meijs, N. van Gorp, Martijn Maessen, Gert Westert, Wilco Peul, S.A. van Dulmen.
Assessing volume and variation of low-value care practices in the Netherlands‘.
European Journal of Public Health

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