To do or not to do? – A Netherlands reducing low-value care programme

The To do or not to do? national programme from the Netherlands helps physicians, nurses and patients to make well-informed and shared decisions about whether a specific health care practice is the right choice.

The programme also stimulates and supports projects in which health care professionals reduce low-value care; scales up successful de-implementation interventions; and helps clinicians prioritise which low-value care should be reduced. In the first four years of the project, knowledge has been gained about how health care professionals can reduce low-value care.

To do or not to do? now has 16 de-implementation projects in various stages, from start-up phases through to completed projects. De-implementation is identifying and removing harmful, non-cost-effective, or ineffective practices. The projects are in a number of areas, including orthopaedics, drug allergies, antibiotics, blood cultures, cancer, laboratory testing, COPD, vitamin testing and catheters.

A paper from the “Volume, variation and costs of low-value care” project has recently been published entitled Assessing volume and variation of low-value care practices in the Netherlands, and is featured below.

The programme website also has a number of toolkits in Dutch, with English versions planned. Keep an eye on the website, as further results of the various programmes and toolkits will be available over time.