From: A scoping review of de-implementation frameworks and models
Author, year | Setting | Topic/content area | De-implementation intervention | Primary action | Secondary action | Evidence for de-imp. | Cost | Stakeholder | Method | Study design |
---|---|---|---|---|---|---|---|---|---|---|
Amankwah-Amoah, 2017 [51] | Industries (broad) | Technological lifecycle | Describe the lifecycle of a product, ultimately leading to discontinued use of a technology | Remove | Replace | NR | Y | N | Non-empirical | Commentary |
Bain et al., 2008 [52] | Clinical | Medication discontinuation | Recognize indication for discontinuing medication; identify medication for discontinuation; discontinue; monitor patient | Remove | NA | Ineffective | Y | Y | Non-empirical | Case example; commentary |
Bauer, 2014 [53] | Legislative bodies (broad) | Environmental (air pollution, water protection, wildlife protection); social (child benefits, pension, unemployment) policy change | Public policy dismantling (including strategies) | Remove | NA | NR | Y | N | Non-empirical | Literature summary; commentary |
Davidson et al., 2017 [54] | Clinical | Behavior change | Broad cycle of identifying low-value practice, plan and execute de-implementation, evaluate consequences, plan for new practice implementation | Remove | Replace | NR | Y | Y | Non-empirical | Commentary |
Helfrich et al., 2018 [37] | Clinical | De-implementation of low-value or ineffective clinical practices (broadly) | Unlearning an active process and substitution of an alternative practice | Reduce; replace | NA | Ineffective | N | Y | Non-empirical | Commentary |
Herald et al., 2009 [55] | Systems (broad, primary example military) | Technological lifecycle | Discuss 6 components of obsolescence management: technology road mapping, system costing, system obsolescence life cycle forecasting, technology trade study analysis and product selection, technology/product surveillance and health assessment, technology transition | Replace | NA | NR | Y | N | Non-empirical | Commentary |
Hyun-Ju et al., 2016 [56] | Healthcare system (broad) | Healthcare technology reassessment | Strategies to reassess and manage obsolete medical technologies | Reduce; replace | Remove | Mixed | Y | Y | Review | Systematic review |
Kirkpatrick et al., 1999 [26] | Public policy | Public policy termination | Consider political environment, policy characteristics, and system constraints | Reduce, remove | NA | NR | Y | Y | Non-empirical | Conceptual |
Niven et al., 2015 [57] | Clinical | Low-value clinical practices | Selected and tailored deadoption intervention | Remove | Reduce | Ineffective, contradicted | Y | Y | Review | Scoping review |
Norton et al., 2019 [58] | Clinical | Cancer care delivery | De-implementation strategies (at patient, provider, setting, societal levels) | Reduce, remove replace, restrict | NA | Ineffective, contradicted, mixed, untested | N | N | Non-empirical | Commentary |
Prasad, 2014 [23] | Healthcare system (broad) | Contradicted, untested, novel healthcare practices | Factor prioritization for testing unproven practices | Remove | NA | Untested | Y | N | Non-empirical | Commentary |
Scott et al., 2013 [59] | Clinical | Polypharmacy in older populations | Behavior change (begin using discontinuation guide) assess for deprescribing | Remove | NA | Ineffective, contradicted | Y | Y | Non-empirical | Commentary |
Soril et al., 2020 [60] | Healthcare system (broad) | Healthcare technology | Policy process (selection, decision, execution, reassessment) | Reduce | Remove | Ineffective, contradicted | Y | Y | Non-empirical | Commentary (literature summary, environmental scan, workshop) |