“Desimplementar” las prácticas de bajo valor: un imperativo ético
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La atención sanitaria debe ser sostenible. Uno de los aspectos que atentan contra la sustentabilidad es la provisión de cuidados de bajo valor. Estas prácticas deben ser desimplementadas porque malgastan recursos, ponen en riesgo a los pacientes y dañan el planeta. Pareciera que hacer foco en que los cuidados de bajo valor constituyen un problema de seguridad sería adecuado para favorecer su desimplementación.
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OECD. Tackling wasteful spending on health. Paris: OECD; 2017. https://doi.org/10.1787/9789264266414-en.
Welch HG, Schwartz L, Woloshin S. Overdiagnosed: making people sick in the pursuit of health. Boston: Beacon Press, 2011.
Cotter AR, Vuong K, Mustelin L, et al. Do psychological harms result from being labelled with an unexpected diagnosis of abdominal aortic aneurysm or prostate cancer through screening? A systematic review. BMJ Open. 2017;7(12):e017565. https://doi.org/10.1136/bmjopen-2017-017565 Errata en: BMJ Open. 2018;8(1):e017565corr1. https://doi.org/10.1136/bmjopen-2017-017565corr1.
May C, Montori VM, Mair FS. We need minimally disruptive medicine. BMJ. 2009;339:b2803. https://doi.org/10.1136/bmj.b2803.
Glasziou P, Straus S, Brownlee S, et al. Evidence for underuse of effective medical services around the world. Lancet. 2017;390(10090):169-177. https://doi.org/10.1016/S0140-6736(16)30946-1.
Porter J, Boyd C, Skandari MR, et al. Revisiting the time needed to provide adult primary care. J Gen Intern Med. 2022 Jul 1. En prensa. https://doi.org/10.1007/s11606-022-07707-x.
Petursson H, Getz L, Sigurdsson JA, et al. Current European guidelines for management of arterial hypertension: are they adequate for use in primary care? Modelling study based on the Norwegian HUNT 2 population. BMC Fam Pract. 2009;10:70. https://doi.org/10.1186/1471-2296-10-70.
West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. J Intern Med. 2018;283(6):516-529. https://doi.org/10.1111/joim.12752.
Montori V. Why we revolt: a patient revolution for careful and kind care. 2nd ed. Rochester, MN: Mayo Clinic Press; 2020.
OECD. Fiscal sustainability of health systems: bridging health and finance perspectives. Paris: OECD; 2015. https://doi.org/10.1787/9789264233386-en.
Marmot M, Allen J, Bell R, et al. WHO European review of social determinants of health and the health divide. Lancet. 2012;380(9846):1011-1129. https://doi.org/10.1016/S0140-6736(12)61228-8.
Barratt A, McGain F. Overdiagnosis is increasing the carbon footprint of healthcare. BMJ. 2021;375:n2407. https://doi.org/10.1136/bmj.n2407.
MacLeod S, Musich S, Hawkins K, et al. Highlighting a common quality of care delivery problem: overuse of low-value healthcare services. J Healthc Qual. 2018;40(4):201-208. https://doi.org/10.1097/JHQ.0000000000000095
Hicks LK. Reframing overuse in health care: time to focus on the harms. J Oncol Pract. 2015;11(3):168-170. https://doi.org/10.1200/JOP.2015.004283.
Caughey GE, Tait K, Vitry AI, et al. Influence of medication risks and benefits on treatment preferences in older patients with multimorbidity. Patient Prefer Adherence. 2017;11:131-140. https://doi.org/10.2147/PPA.S118836.
Coon ER, Newman TB, Hall M, et al. Trends in imaging findings, interventions, and outcomes among children with isolated head trauma. Pediatr Emerg Care. 2021;37(2):55-61. https://doi.org/10.1097/PEC.0000000000001475.