Evidence map›Paper›PMID 38684346›Full record

ArticleBMJ open quality2024

Intervention for reducing the overuse of upper endoscopy in patients <45 years: a protocol for a stepwise intervention programme.

Susanne Sorensen Hernes, Mikkel Høiberg, Frode Gallefoss, Christian Thoresen, Ole Tjomsland

Abstract read
In one paragraph

Article in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Susanne Sorensen HernesDepartment of Geriatrics and Internal medicine, Sorlandet Hospital Arendal, Kristiansand, Agder, Norway susanne.sorensen.hernes@sshf.no.ORCID 0000-0001-6018-652X
Mikkel HøibergDepartment of Endocrinology, Sorlandet Hospital Arendal, Arendal, Norway.
Frode GallefossDepartment of Clinical Sciences, University of Bergen, Bergen, Norway.
Christian ThoresenSouth-Eastern Norway Regional Health Authority, Hamar, Norway.
Ole TjomslandDirector of Quality and Specialist Areas, South-Eastern Norway Regional Health Authority, Hamar, Norway.ORCID 0000-0002-6035-6768

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Utilisation rates for healthcare services vary widely both within and between nations. Moreover, healthcare providers with insurance-based reimbursement systems observe an effect of social determinants of health on healthcare utilisation rates and outcomes. Even in countries with publicly funded universal healthcare such as Norway, utilisation rates for medical and surgical interventions vary between and within health regions and hospitals.Most interventions targeting overuse and high utilisation rates are based on the assumption that knowledge of areas of unwarranted variation in healthcare automatically will lead to a reduction in unwarranted variation. Recommendations regarding how to reduce this variation are often not very detailed or prominent.This paper describes a protocol for reducing the overuse of upper endoscopy in a Norwegian health region. The protocol uses a combination of digital tools and psychological methods targeting behavioural change in order to alter healthcare workers' approach to patient care.The aim of the planned intervention is to evaluate the effectiveness of a multifaceted set of interventions to reduce the overuse of upper endoscopy in patients under 45 years. A secondary aim is to evaluate the specific effect of the various parts of the intervention.

Indexed as

EndoscopyAdultHumansMedical OveruseNorwayENDOSCOPYHealth services researchQuality improvement methodologies

Identifiers

PMID38684346
PMCPMC11086486

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.