Catalan experience of deadoption of low-value practices in primary care

Abstract

Pràctica basada en l'evidència; Millora de la qualitat assistencial; Ciència de la implementació

Evidencia basada en la práctica; Mejora de la calidad de la asistencia sanitaria; Ciencia de la implementación

Evidence-based practice; Healthcare quality improvement; Implementation science

Reducing ineffective practices is one way to ensure highquality and efficient healthcare for the population. For this reason, several initiatives have been implemented worldwide to reduce low-value care. This article describes the experience of the Essencial project, a multifaceted deadoption strategy implemented in the Catalan primary care system. Lessons learnt from this project include the importance of considering the local context in deadoption strategies, providing adequate training and communication material to patients and clinicians and supporting the key role of clinical champions. Given the knowledge gaps regarding the conditions for successful deadoption strategies, the Catalan experience could provide enlightenment on how to implement, evaluate and sustain a large-scale collaborative deadoption strategy in primary healthcare.