TY - JOUR ID - 4296 TI - Beyond Microsystem Fixes: Targeting National Drivers of Low-Value Care; Comment on “Key Factors that Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands” JO - International Journal of Health Policy and Management JA - IJHPM LA - en SN - AU - Weinerman, Adina AU - Soong, Christine AD - Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada AD - Division of General Internal Medicine, Sinai Health, Toronto, ON, Canada Y1 - 2022 PY - 2022 VL - 11 IS - 9 SP - 1971 EP - 1973 KW - Low-Value Care KW - Overuse KW - Shared Decision-making DO - 10.34172/ijhpm.2022.7077 N2 - Low-value care drivers and interventions are often focused on a microsystem (eg, clinic or inpatient ward) or within a health system. Identification of national drivers such as payment structure and medical culture of overuse can help identify regional approaches to reducing low-value care. However, these approaches in isolation are insufficient and require additional strategies. These can include policy and payment changes and adopting shared decision-making (SDM). SDM has the potential to move medical culture away from the ‘more is better’ paternalistic and physician-centric culture to one that actively engages patients as full partners in managing their care. UR - https://www.ijhpm.com/article_4296.html L1 - https://www.ijhpm.com/article_4296_87de3a99b632f364b7d5122bb1f97e78.pdf ER -