Authors
Petra Falkenbach, Aleksi J Raudasoja, Robin WM Vernooij, Jussi MJ Mustonen, Arnav Agarwal, Yoshitaka Aoki, Marco H Blanker, Rufus Cartwright, Herney A Garcia-Perdomo, Tuomas P Kilpeläinen, Olli Lainiala, Tiina Lamberg, Olli PO Nevalainen, Eero Raittio, Patrick O Richard, Philippe D Violette, Kari AO Tikkinen, Raija Sipilä, Miia Turpeinen, Jorma Komulainen
Publication date
2023/8/21
Source
Implementation Science
Volume
18
Issue
1
Pages
36
Publisher
BioMed Central
Description
Background
De-implementation of low-value care can increase health care sustainability. We evaluated the reporting of direct costs of de-implementation and subsequent change (increase or decrease) in health care costs in randomized trials of de-implementation research.
Methods
We searched MEDLINE and Scopus databases without any language restrictions up to May 2021. We conducted study screening and data extraction independently and in duplicate. We extracted information related to study characteristics, types and characteristics of interventions, de-implementation costs, and impacts on health care costs. We assessed risk of bias using a modified Cochrane risk-of-bias tool.
Results
We screened 10,733 articles, with 227 studies meeting the inclusion criteria, of which 50 included information on direct cost of de-implementation or impact of de-implementation on health care costs. Studies were mostly …
Total citations
Scholar articles
P Falkenbach, AJ Raudasoja, RWM Vernooij… - Implementation Science, 2023