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dc.contributor.authorAndersen, Eivind Richter
dc.contributor.authorHofmann, Bjørn Morten
dc.contributor.authorKjelle, Elin
dc.date.accessioned2023-01-24T15:02:50Z
dc.date.available2023-01-24T15:02:50Z
dc.date.created2022-05-25T12:48:35Z
dc.date.issued2022
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/11250/3045960
dc.description.abstractBackground Overuse, underuse, and significant variation in the utilisation of radiological services are well documented in the literature. Several radiological examinations are identified as low-value examinations as they do not lead to a change in diagnosis or course of treatment. Even so, such examinations are frequently performed. Many measures for reducing low-value imaging have been carried out with variable outcomes. While there is little evidence as to why some measures work and others do not, adjusting to the context seems important for success. The objective of this study was to investigate which measures stakeholders consider appropriate for reducing the use of low-value imaging and what it takes to make them work. Methods Semi-structured interviews were conducted among radiographers, radiologists, radiological department managers, hospital clinicians, general practitioners, and health government/authorities’ representatives. The interview guide covered two broad areas: Experience with low-value services, and possible future measures deemed appropriate for reducing low-value services. Data were analysed in line with a qualitative framework analysis. Results The analysis included information from 27 participants. All participants acknowledged that low-value imaging was a problem, but few had very specific suggestions on reducing this in practice. Suggested measures were to stop referrals from being sent, provide support in assessing referrals, or change the healthcare system. Identified facilitators were categorised as management and resources, evidence, and experienced value. In general, appropriate measures should be practical, well-founded, and valuable. Conclusions This study provides insight into various stakeholders’ perceptions of suitable interventions to reduce low-value imaging. While many measures for reducing low-value imaging are available, contextual sensitivity is crucial to make them work.en_US
dc.language.isoengen_US
dc.publisherBMCen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleReducing low-value radiological services in Norway –a qualitative multi-professional study on measures and facilitators for changeen_US
dc.title.alternativeReducing low-value radiological services in Norway –a qualitative multi-professional study on measures and facilitators for changeen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.source.volume22en_US
dc.source.journalBMC Health Services Researchen_US
dc.identifier.doi10.1186/s12913-022-08077-0
dc.identifier.cristin2027352
dc.relation.projectNorges forskningsråd: 302503en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal