From: Towards understanding the de-adoption of low-value clinical practices: a scoping review
Terma | Number (%) of 109 citationsb | Number (%) of citations with term listed in title or abstract | Relationship to the proposed conceptual framework | References |
---|---|---|---|---|
Disinvest* | 42 (39) | 34 (31) | Facilitate de-adoption | |
Sustain de-adoption | ||||
Decrease use | 26 (24) | 13 (12) | Facilitate de-adoption | |
Evaluate de-adoption outcomes | ||||
Discontinu* | 17 (16) | 7 (6) | Facilitate de-adoption | [8, 18, 20, 23, 25, 28, 51, 56, 61, 63, 91, 94, 96, 100–103] |
Evaluate de-adoption outcomes | ||||
Abandon* | 17 (16) | 4 (4) | Sustain de-adoption | |
Reassess* | 15 (14) | 8 (7) | Identify low-value practices | |
Obsole* | 13 (12) | 6 (6) | Identify low-value practices | |
Medical reversal | 12 (11) | 7 (6) | Identify low-value practices | |
Contradict | 11 (10) | 3 (3) | Identify low-value practices | |
Re-invest | 9 (8) | 0 (0) | Sustain de-adoption | |
Withdraw* | 8 (7) | 8 (7) | Facilitate de-adoption | |
Sustain de-adoption | ||||
Reduc* | 8 (7) | 1 (1) | Evaluate de-adoption outcomes | |
Decline in use | 7 (6) | 0 (0) | Evaluate de-adoption outcomes | |
Health technology reassessment | 5 (5) | 4 (4) | Identify low-value practices | |
Change in use | 4 (4) | 2 (2) | Evaluate de-adoption outcome | |
De-implement* | 4 (4) | 2 (2) | Facilitate de-adoption | |
De-list | 4 (4) | 0 (0) | Facilitate de-adoption | |
Sustain de-adoption | ||||
Low value practice/intervention | 4 (4) | 2 (2) | Identify low-value practices | |
Change in practice | 3 (3) | 1 (1) | Evaluate de-adoption outcome | |
De-adopt* | 3 (3) | 2 (2) | Facilitate de-adoption | |
Evaluate de-adoption outcomes | ||||
De-commission | 3 (3) | 1 (1) | Facilitate de-adoption | |
Sustain de-adoption | ||||
Do not do | 3 (3) | 1 (1) | Facilitate de-adoption | |
Reallocation | 3 (3) | 0 (0) | Sustain de-adoption | |
Remov* | 3 (3) | 0 (0) | Facilitate de-adoption | |
Sustain de-adoption | ||||
Replace | 3 (3) | 0 (0) | Facilitate de-adoption | |
Sustain de-adoption | ||||
Refute | 3 (3) | 1 (1) | Identify low-value practices | |
Over use | 3 (3) | 0 (0) | Identify low-value practices | |
Stop* | 3 (3) | 1 (1) | Facilitate de-adoption | |
Inappropriate use | 2 (2) | 1 (1) | Identify low-value practices | |
Relinquish* | 2 (2) | 1 (1) | Facilitate de-adoption | |
Sustain de-adoption | ||||
Ineffective | 2 (2) | 1 (1) | Identify low-value practices | |
Misuse | 1 (1) | 0 (0) | Identify low-value practices | [127] |
Re-appraisal | 1 (1) | 0 (0) | Identify low-value practices | [79] |
Re-prioritization | 1 (1) | 0 (0) | Sustain de-adoption | [79] |
Substitutional re-investment | 1 (1) | 0 (0) | Facilitate de-adoption | [79] |
Sustain de-adoption | ||||
Evidence-based reassessment | 1 (1) | 0 (0) | Identify low-value practices | [79] |
Clinical redesign | 1 (1) | 0 (0) | Facilitate de-adoption | [79] |
Disadoption | 1 (1) | 0 (0) | Facilitate de-adoption | [101] |
Defunding | 1 (1) | 0 (0) | Facilitate de-adoption | [57] |
Sustain de-adoption | ||||
Resource release | 1 (1) | 0 (0) | Facilitate de-adoption | [57] |
Sustain de-adoption | ||||
Withdrawing from a service and redeploying resources | 1 (1) | 0 (0) | Facilitate de-adoption | [57] |
Sustain de-adoption | ||||
Redeploy | 1 (1) | 1 (1) | Facilitate de-adoption | [68] |
Sustain de-adoption | ||||
Reversal | 1 (1) | 0 (0) | Identify low-value practices | [96] |
Facilitate de-adoption | ||||
Sustain de-adoption | ||||
Drop in use | 1 (1) | 0 (0) | Facilitate de-adoption | [31] |
Evaluate de-adoption |