Disinvestment

Deimplementation refers to the process of identifying, evaluating, and phasing out healthcare interventions that are not considered to create value for patients, also referred to a low-valuecare. This project is a government assignment that will result in a knowledge compilation on deimplementation. The assignment includes mapping research about methods and factors that can facilitate deimplementation, as well as developing guidance for healthcare providers and other relevant stakeholders. The knowledge compilation will present research on deimplementation and low-value care at the level of systematic reviews.

The work is carried out with the support of four experts and in collaboration with the National Board of Health and Welfare (Socialstyrelsen) and the Swedish Medical Society’s working group for Choosing Wisely (Kloka kliniska val).

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Ongoing Projects

SBU assess relevant and well-conducted research and investigate what effect different interventions have, if there are any risks or ethical problems, and what is most cost-effective in the areas of health care, dentistry, social services, and within the areas of functional disability and work environment.

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Planned to be published: quatal 4, 2025

Aim

  • To explain what de-implementation entails and relate it to the actors and levels
    involved in decision-making processes.
  • To provide guidance on which components should be included in a decision-making
    basis for de-implementation.
  • To map systematic reviews that examine different aspects of de-implementation and
    healthcare interventions considered to be of low value for patients.

Background

Deimplementation refers to the process of identifying, evaluating, and phasing out
healthcare interventions that are not considered to create value for patients, also
referred to a low-value-care. This project is a government assignment that will
result in a knowledge compilation on deimplementation. The assignment includes
mapping research about methods and factors that can facilitate
deimplementation, as well as developing guidance for healthcare providers and
other relevant stakeholders. The knowledge compilation will present research on
deimplementation and low-value care at the level of systematic reviews.
The work is carried out with the support of four experts and in collaboration with the
National Board of Health and Welfare (Socialstyrelsen) and the Swedish Medical
Society’s working group for Choosing Wisely (Kloka kliniska val).

Project group

Experts

  • Henna Hasson, Professor, Medical Management Centre, Karolinska institute
  • Hanna Öfverström, Researcher, Physiotherapist, Medical Management Centre,
    Karolinska institute
  • Joar Björk, Researcher, Specialist internal medicine /palliative care; Medical
    Ethicist, Linköping university/Karolinska institute
  • Minna Johansson, General Practitioner, Associate Professor, Sahlgrenska
    Academy/University of Göteborgs

From SBU

  • Per Lytsy, Project Manager
  • Lisa Andersson, Assistant Project Manager
  • Hanna Olofsson, Information Specialist
  • Martina Lundqvist, Health Economist
  • Sara Fundell, Project Administrator
  • Sofia Carlsson, Assistant Project Administrator
  • Elham Ali Mohammed, Project Participant
  • Pernilla Östlund, Responsible Project Director

 

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