Gangathimmaiah, Vinay (2025) Identification and de-implementation of low-value emergency care. Emergency Medicine Australasia, 37 (2). e70014.

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Abstract

Value-based healthcare prioritises evidence-based practices that are effective, efficient, equitable, and beneficial for patients.1 Unscientific, ineffective, inefficient and inequitable care has little value and harms patients.2 Low-value care, encompassing tests, treatments, procedures, referrals, admissions, discharges, and retrievals, constitutes up to 30% of emergency care.3 Prevalence of low-value care may vary between settings (urban/regional/rural/remote) because value is context-dependent. Despite de-implementation endeavours over the past decade, low-value care persists in emergency medicine practice.3 Identification of targets and drivers of low-value emergency care is essential before pursuing de-implementation.4 This article discusses strategies for identification and de-implementation of low-value emergency care.

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