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Low value care is care that provides little or no benefit, may cause patient harm, or yields marginal benefits at a disproportionately high cost.
This problem of low value, or unnecessary, care is gaining wide recognition through professionally led initiatives such as the international Choosing Wisely movement and the UK NICE “do not do” guidelines. These initiatives strive to achieve clinician consensus on what constitutes low value care with the hope that identifying low value care practices will catalyse efforts to reduce such care.
In Australia, the Royal Australasian College of Physicians’ EVOLVE initiative has identified a top five list of ‘do not do’ treatments in child health. These are, do not routinely…
However, we do not know what proportion of care provided to children in Australia is low value. Determining to what extent such care exists, where it is occurring (i.e. in primary or secondary care, in the public or private system, in emergency department (ED) or inpatient care etc.), and how to reduce it is crucial to a sustainable healthcare system.
National: RCH; MCRI; University of Melbourne; Menzies Kids, University of Sydney (A/Prof Natasha Nassar); RACP (Mr Jason Soon); Australian Institute of Health Innovation, Macquarie University (Prof Andrew Georgiou).International: USA - University of Michigan, Child Health Evaluation and Research Center (Prof Gary Freed).
Medicare Benefits Schedule (MBS); Pharmaceutical Benefits Scheme (PBS); The Royal Children’s Hospital (RCH; Epic).