Assessing social values for California's efforts to reduce the overuse of unnecessary medical care
Bibliographic Data
| ID | 19509178 |
|---|---|
| Authors | Susan Pérez (0000-0002-3580-5197, Department of Kinesiology and Health Science California State University Sacramento CA USA, corresponding author), Desiree R Backman (California Department of Health Care Services), Desiree Backman (California Department of Health Care Services and University of California Davis Institute for Population Health Improvement Sacramento CA USA), Marge Ginsburg (Center for Healthcare Decisions Sacramento CA USA) |
| Year | 2018 |
| Volume | 21 |
| Issue | 2 |
| Pages | 501-507 |
| Publication date | 2018-04-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Expectations (JOURNAL) |
| Journal identifiers | ISSN: 1369-6513 • E-ISSN: 1369-7625 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hex.12644 |
| PMID | 29144599 |
| OpenAlex | W2769404855 |
| Language | EN |
| References cited | 18 |
BACKGROUND: A partnership of large health-care purchasers created a workgroup to reduce the overuse of harmful and wasteful medical care in California. OBJECTIVE: Employ a civic engagement process to identify the social values important to the public in considering different strategies to reduce overuse. INTERVENTION: Use of deliberation techniques for 3 case examples that explore possible strategies: physician oversight, physician compensation, increased patient cost-sharing or taking no definitive action. RESULTS: Five themes were identified, including strong support for physicians' leadership role to reduce overuse; nuanced enthusiasm for increasing patient cost-sharing to discourage excessive demand; and marked disapproval of physician compensation as a motivator. CONCLUSION: Most but not all of the perspectives voiced by participants are congruent with efforts to reduce overuse that is being initiated or discussed at the state, provider and health plan level. As health-care policymakers and leaders consider more targeted approaches to reducing overuse, these findings will inform decision-making
Business · Deliberation · Enthusiasm · General partnership · Health care · Political science · Public relations · Workgroup · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Medical Malpractice and Liability Issues · Medicine · Nursing · Psychology · Social Psychology
Physician Recommendations and Patient Autonomy
Overuse and Systems of Care
Should We Trust Web-Based Studies? A Comparative Analysis of Six Preconceptions About Internet Questionnaires
Effectiveness of public deliberation methods for gathering input on issues in healthcare
Deliberations about deliberative methods
| Highly cited | No |
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