Using Evidence to Promote High Value Care

Hannah C. Neubauer*, Nathan M. Money, Purva U. Patel

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter


In healthcare, value is defined as quality over cost, or health outcomes achieved per dollar spent. Cost is not only financial, and includes emotional burden, side effects, and non-financial costs (e.g., lost wages). Overall, healthcare costs are high in the United States, and continuing to improve healthcare value is crucial. The healthcare value matrix is a useful tool to analyze individual tests or interventions. Major drivers of low value care are provider-level concerns, systemic factors, and patientlevel factors. Specific examples of low value care are overuse, overdiagnosis, and overtreatment. Medical literature can promote high value care through several mechanisms, including medical reversal and deimplementation. Dissemination of the medical literature, education of trainees, and development and use of local evidence based guidelines are all helpful methods to promote high value care. Finally, changes brought by the coronavirus pandemic provide a timely example of how high value practices can be implemented rapidly.

Original languageEnglish (US)
Title of host publicationEvidence-Based Medicine
Subtitle of host publicationFrom the Clinician and Educator Perspective
PublisherNova Science Publishers, Inc.
Number of pages24
ISBN (Electronic)9781685077006
StatePublished - Jan 1 2022


  • cost and cost analysis
  • delivery of health care
  • evidence-based medicine
  • fees and charges
  • guidelines as topic
  • medical overuse

ASJC Scopus subject areas

  • Medicine(all)


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