Reducing Low-Value Care: Uncertainty as Crucial Cross-Cutting Theme Comment on "Key Factors That Promote Low-Value Care: Views of Experts From the United States, Canada, and the Netherlands"

Int J Health Policy Manag. 2022 Sep 1;11(9):1964-1966. doi: 10.34172/ijhpm.2022.7027. Epub 2022 Mar 15.


Low-value care is increasingly recognized as a global problem that places strain on healthcare systems and has no quick fix. Verkerk et al have identified key factors promoting low-value care on a national level, proposed strategies to address these and create a healthcare system facilitating delivery of high-value care. In this commentary, we reflect on the results of Verkerk et al and argue that uncertainty has a crucial role when it comes to reducing low-value care. This uncertainty is reflected in lack of a shared view between stakeholders, with clear criteria and thresholds on what constitutes low-value care, and as cross-cutting theme related to the key factors identified. We suggest to work on such a shared view of low-value care and - different from implementation efforts - to explicitly address uncertainty and its driving cognitive biases grounded in human decision-making psychology, to reduce low-value care.

Keywords: De-Implementation; Low-Value Care; Medical Overuse.

Publication types

  • Comment

MeSH terms

  • Canada
  • Delivery of Health Care*
  • Humans
  • Low-Value Care*
  • Netherlands
  • Uncertainty
  • United States