Strategies to Reduce Low-Value Cardiovascular Care: A Scientific Statement From the American Heart Association

Vinay Kini, Khadijah Breathett, Peter W. Groeneveld, P. Michael Ho, Brahmajee K. Nallamothu, Pamela N. Peterson, Pam Rush, Tracy Y. Wang, Emily P. Zeitler, William B. Borden

Research output: Contribution to journalReview articlepeer-review

Abstract

Low-value health care services that provide little or no benefit to patients are common, potentially harmful, and costly. Nearly half of the patients in the United States will receive at least 1 low-value test or procedure annually, creating risk of avoidable complications from subsequent cascades of care and excess costs to patients and society. Reducing low-value care is of particular importance to cardiovascular health given the high prevalence and costs of cardiovascular disease in the United States. This scientific statement describes the current scope and impact of low-value cardiovascular care; reviews existing literature on patient-, clinician-, health system-, payer-, and policy-level interventions to reduce low-value care; proposes solutions to achieve meaningful and equitable reductions in low-value care; and suggests areas for future research priorities.

Original languageEnglish (US)
Pages (from-to)E000105
JournalCirculation: Cardiovascular Quality and Outcomes
Volume15
Issue number3
DOIs
StatePublished - Mar 1 2022

Keywords

  • AHA Scientific Statements
  • costs and cost analysis
  • delivery of health care
  • health services

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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