Background:
Low-value care is health care with no or little additional clinical value for the patient, taking into account available alternatives, patient preferences and costs. Reducing low-value care improves quality of care and reduces waste of resources. However, achieving a successful and sustainable reduction of low-value care is not straightforward, as many factors play a role and different stakeholders are involved.

Objectives:
In this interactive workshop, participants will receive the tools to start their own project to reduce low-value care (so-called de-implementation). We will share knowledge based on two systematic reviews of de-implementation studies, and our experience from the Dutch national programme 'To do or not to do? Reducing low-value care'. Participants will become aware of the challenges they might encounter when designing and executing a de-implementation project and how to deal with those challenges.

Description:
After an introduction on low-value care and de-implementation, participants will work in small groups on a real-life example of a de-implementation project. Different stages of de-implementation as well as different stakeholder perspectives will be addressed in the assignments. The findings of the small groups will be discussed in a keynote and we will share our own de-implementation experiences.

Topics covered during this workshop are:

- identifying and measuring low-value care in current practice;
- analysing reasons why low-value care persists and what the potential barriers to and facilitators of de-implementation from different stakeholders may be;
- developing a tailored de-implementation strategy, keeping in mind the identified barriers and facilitators;
- evaluating the effectiveness of a de-implementation strategy.