Identifying and addressing underuse in hematologic care through systems-based hematology
Underuse of high-value hematologic care receives comparatively less attention than the overuse of unnecessary tests and treatments. In this review, we analyze examples of underutilized care in several domains: procedural (inferior vena cava filter retrieval), medical (hydroxyurea use in sickle cell...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-05-01
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| Series: | Research and Practice in Thrombosis and Haemostasis |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2475037925002055 |
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| author | Jacob C. Cogan Allison E. Burnett Alexandra Power-Hays Geoffrey D. Barnes Ming Y. Lim |
| author_facet | Jacob C. Cogan Allison E. Burnett Alexandra Power-Hays Geoffrey D. Barnes Ming Y. Lim |
| author_sort | Jacob C. Cogan |
| collection | DOAJ |
| description | Underuse of high-value hematologic care receives comparatively less attention than the overuse of unnecessary tests and treatments. In this review, we analyze examples of underutilized care in several domains: procedural (inferior vena cava filter retrieval), medical (hydroxyurea use in sickle cell anemia), and patient-facing (education prior to anticoagulation). For each, we justify the need for increased uptake and highlight examples of systems-based hematology interventions to accomplish this. While reducing overused care is appealing from a cost savings perspective, we advocate for equal attention and investment toward promoting underused care. |
| format | Article |
| id | doaj-art-cfd5ffbeffb94d87bfe9412cdfb71f70 |
| institution | Kabale University |
| issn | 2475-0379 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Research and Practice in Thrombosis and Haemostasis |
| spelling | doaj-art-cfd5ffbeffb94d87bfe9412cdfb71f702025-08-20T04:01:56ZengElsevierResearch and Practice in Thrombosis and Haemostasis2475-03792025-05-019410288110.1016/j.rpth.2025.102881Identifying and addressing underuse in hematologic care through systems-based hematologyJacob C. Cogan0Allison E. Burnett1Alexandra Power-Hays2Geoffrey D. Barnes3Ming Y. Lim4Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota, USA; Correspondence Jacob C. Cogan, Division of Hematology, Oncology and Transplantation, University of Minnesota, 516 Delaware St SE, PWB 14-100, Minneapolis, MN 55455, USA.College of Pharmacy, University of New Mexico Hospital, Albuquerque, New Mexico, USADivision of Hematology, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA; Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio, USADivision of Cardiovascular Medicine, Department of Internal Medicine, Frankel Cardiovascular Center, University of Michigan, Ann Arbor, Michigan, USADivision of Hematology and Hematologic Malignancies, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USAUnderuse of high-value hematologic care receives comparatively less attention than the overuse of unnecessary tests and treatments. In this review, we analyze examples of underutilized care in several domains: procedural (inferior vena cava filter retrieval), medical (hydroxyurea use in sickle cell anemia), and patient-facing (education prior to anticoagulation). For each, we justify the need for increased uptake and highlight examples of systems-based hematology interventions to accomplish this. While reducing overused care is appealing from a cost savings perspective, we advocate for equal attention and investment toward promoting underused care.http://www.sciencedirect.com/science/article/pii/S2475037925002055anticoagulationhydroxyureaIVC filtersickle cell anemiaunderuse |
| spellingShingle | Jacob C. Cogan Allison E. Burnett Alexandra Power-Hays Geoffrey D. Barnes Ming Y. Lim Identifying and addressing underuse in hematologic care through systems-based hematology Research and Practice in Thrombosis and Haemostasis anticoagulation hydroxyurea IVC filter sickle cell anemia underuse |
| title | Identifying and addressing underuse in hematologic care through systems-based hematology |
| title_full | Identifying and addressing underuse in hematologic care through systems-based hematology |
| title_fullStr | Identifying and addressing underuse in hematologic care through systems-based hematology |
| title_full_unstemmed | Identifying and addressing underuse in hematologic care through systems-based hematology |
| title_short | Identifying and addressing underuse in hematologic care through systems-based hematology |
| title_sort | identifying and addressing underuse in hematologic care through systems based hematology |
| topic | anticoagulation hydroxyurea IVC filter sickle cell anemia underuse |
| url | http://www.sciencedirect.com/science/article/pii/S2475037925002055 |
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