Factors associated with patients’ demand for low-value care: a scoping review
Abstract Background Low-value care is unnecessary care that contributes to inefficient use of health resources and constitutes a considerable proportion of healthcare expenditures worldwide. Factors contributing to patients’ demand for low-value care have often been overlooked and are dispersed in t...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-024-12093-7 |
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| author | Gillroy R. L. Fraser Mattijs S. Lambooij Job van Exel Raymond W. J. G. Ostelo Frenk van Harreveld G. Ardine de Wit |
| author_facet | Gillroy R. L. Fraser Mattijs S. Lambooij Job van Exel Raymond W. J. G. Ostelo Frenk van Harreveld G. Ardine de Wit |
| author_sort | Gillroy R. L. Fraser |
| collection | DOAJ |
| description | Abstract Background Low-value care is unnecessary care that contributes to inefficient use of health resources and constitutes a considerable proportion of healthcare expenditures worldwide. Factors contributing to patients’ demand for low-value care have often been overlooked and are dispersed in the literature. Therefore, the current study aimed to systematically summarize factors associated with patients’ demand for low-value care. Methods In this scoping review, scientific articles were identified based on a search query conducted in Embase and Scopus. We identified articles using search terms related to low-value care and demand-related factors, published in peer-reviewed journals, and written in English or Dutch. The titles, abstracts, results, and conclusions were inspected to only include articles that were deemed relevant for this topic. From these articles we extracted text fragments that contained factors associated with patients’ demand for low-value care. Hereafter, a thematic analysis was applied to openly, axially, and selectively code textual fragments to identify themes within the data. Results Forty-seven articles were included in this review. We identified eight core themes associated with patients’ demand for low-value care: cognitive biases, emotions, preferences and expectations, knowledge-related factors, socio-cultural factors, biomedical and care-related factors, economic factors, and factors related to the interaction with the healthcare provider. Within these core themes, thirty-three subthemes were identified. For example, risk aversion and anticipated regret aversion are sub-themes of cognitive biases, while consumerism and present and future income effects are sub-themes of economic factors. Conclusions Through this review we provide a systematic overview of factors associated with the demand for low-value care. We found that patients’ demand for low-value care could relate to a multitude of factors that were clustered into eight core themes and thirty-three subthemes. To understand the demand for low-value care from the patient’s perspective in greater detail, future research should focus on the interaction between and importance of these factors in different care contexts. |
| format | Article |
| id | doaj-art-146c3060b0f9430a9f23f1e16b1e7ff1 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-146c3060b0f9430a9f23f1e16b1e7ff12024-12-29T12:14:30ZengBMCBMC Health Services Research1472-69632024-12-0124112410.1186/s12913-024-12093-7Factors associated with patients’ demand for low-value care: a scoping reviewGillroy R. L. Fraser0Mattijs S. Lambooij1Job van Exel2Raymond W. J. G. Ostelo3Frenk van Harreveld4G. Ardine de Wit5Department of Health Economics and Health Services Research, National Institute for Public Health and the Environment (RIVM)Center for Prevention, Lifestyle and Health, Department Behaviour & Health, National Institute for Public Health and the Environment (RIVM)Erasmus School of Health Policy & Management, Erasmus University RotterdamDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences Research InstituteDepartment of Health Economics and Health Services Research, National Institute for Public Health and the Environment (RIVM)Department of Health Economics and Health Services Research, National Institute for Public Health and the Environment (RIVM)Abstract Background Low-value care is unnecessary care that contributes to inefficient use of health resources and constitutes a considerable proportion of healthcare expenditures worldwide. Factors contributing to patients’ demand for low-value care have often been overlooked and are dispersed in the literature. Therefore, the current study aimed to systematically summarize factors associated with patients’ demand for low-value care. Methods In this scoping review, scientific articles were identified based on a search query conducted in Embase and Scopus. We identified articles using search terms related to low-value care and demand-related factors, published in peer-reviewed journals, and written in English or Dutch. The titles, abstracts, results, and conclusions were inspected to only include articles that were deemed relevant for this topic. From these articles we extracted text fragments that contained factors associated with patients’ demand for low-value care. Hereafter, a thematic analysis was applied to openly, axially, and selectively code textual fragments to identify themes within the data. Results Forty-seven articles were included in this review. We identified eight core themes associated with patients’ demand for low-value care: cognitive biases, emotions, preferences and expectations, knowledge-related factors, socio-cultural factors, biomedical and care-related factors, economic factors, and factors related to the interaction with the healthcare provider. Within these core themes, thirty-three subthemes were identified. For example, risk aversion and anticipated regret aversion are sub-themes of cognitive biases, while consumerism and present and future income effects are sub-themes of economic factors. Conclusions Through this review we provide a systematic overview of factors associated with the demand for low-value care. We found that patients’ demand for low-value care could relate to a multitude of factors that were clustered into eight core themes and thirty-three subthemes. To understand the demand for low-value care from the patient’s perspective in greater detail, future research should focus on the interaction between and importance of these factors in different care contexts.https://doi.org/10.1186/s12913-024-12093-7Low-value careCost-ineffective careOveruseOverdiagnosisPatient preferencesDemand factors |
| spellingShingle | Gillroy R. L. Fraser Mattijs S. Lambooij Job van Exel Raymond W. J. G. Ostelo Frenk van Harreveld G. Ardine de Wit Factors associated with patients’ demand for low-value care: a scoping review BMC Health Services Research Low-value care Cost-ineffective care Overuse Overdiagnosis Patient preferences Demand factors |
| title | Factors associated with patients’ demand for low-value care: a scoping review |
| title_full | Factors associated with patients’ demand for low-value care: a scoping review |
| title_fullStr | Factors associated with patients’ demand for low-value care: a scoping review |
| title_full_unstemmed | Factors associated with patients’ demand for low-value care: a scoping review |
| title_short | Factors associated with patients’ demand for low-value care: a scoping review |
| title_sort | factors associated with patients demand for low value care a scoping review |
| topic | Low-value care Cost-ineffective care Overuse Overdiagnosis Patient preferences Demand factors |
| url | https://doi.org/10.1186/s12913-024-12093-7 |
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