Implementation Science · 2020 · 363 citations · 18 references
Public HealthHealth Services AdministrationPublic Health PracticeHealth Services ResearchImplementation ScienceOutcomes ResearchDeimplementationHarm ReductionImplementation AssessmentImplementation ConsiderationsImplementation FacilitatorsImplementation OutcomesEfficient Resource UseHealth Program ImplementationHealth Service DeimplementationHealthcare De-adoptionPatient Harm AssessmentPatient Harm Prevention
De-implementing inappropriate health interventions is essential for minimizing patient harm, maximizing efficient use of resources, and improving population health. Research on de-implementation has expanded in recent years as it cuts across types of interventions, patient populations, health conditions, and delivery settings. This commentary explores unique aspects of de-implementing inappropriate interventions that differentiate it from implementing evidence-based interventions, including multi-level factors, types of action, strategies for de-implementation, outcomes, and unintended negative consequences. We highlight opportunities to continue to advance research on the de-implementation of inappropriate interventions in health care and public health.
18
Process evaluation of complex interventions: Medical Research Council guidance
Gary F. Moore, Suzanne Audrey, Mary Barker et al. · BMJ · 2015 · 6.5K citations · Full text
Public Affairs, Health Policy, Comparative Effectiveness Research +9
The number needed to treat: a clinically useful measure of treatment effect
Richard J. Cook, D L Sackett · BMJ · 1995 · 1.9K citations