{"id":"https://openalex.org/W3000105972","doi":"https://doi.org/10.1186/s13012-019-0960-9","title":"Unpacking the complexities of de-implementing inappropriate health interventions","display_name":"Unpacking the complexities of de-implementing inappropriate health interventions","publication_year":2020,"publication_date":"2020-01-09","ids":{"openalex":"https://openalex.org/W3000105972","doi":"https://doi.org/10.1186/s13012-019-0960-9","mag":"3000105972","pmid":"https://pubmed.ncbi.nlm.nih.gov/31915032","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6950868"},"language":"en","primary_location":{"id":"doi:10.1186/s13012-019-0960-9","doi":"https://doi.org/10.1186/s13012-019-0960-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13012-019-0960-9","pdf_url":"https://implementationscience.biomedcentral.com/track/pdf/10.1186/s13012-019-0960-9","source":{"id":"https://openalex.org/S76880069","display_name":"Implementation Science","issn_l":"1748-5908","issn":["1748-5908"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-a","fnege-4","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implementation Science","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://implementationscience.biomedcentral.com/track/pdf/10.1186/s13012-019-0960-9","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070520141","display_name":"Wynne E. Norton","orcid":"https://orcid.org/0000-0002-9895-8078","observed_orcids":["https://orcid.org/0000-0002-9895-8078"]},"institutions":[{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I4210140884","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210140884"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Wynne E. Norton","raw_affiliation_strings":["Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Drive, #3E424, Bethesda, MD, 20850, USA. wynne.norton@nih.gov","Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Drive, #3E424, Bethesda, MD, 20850, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Drive, #3E424, Bethesda, MD, 20850, USA. wynne.norton@nih.gov","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"]},{"raw_affiliation_string":"Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Drive, #3E424, Bethesda, MD, 20850, USA","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080382835","display_name":"David Chambers","orcid":"https://orcid.org/0009-0002-1413-7801","observed_orcids":["https://orcid.org/0009-0002-1413-7801"]},"institutions":[{"id":"https://openalex.org/I1299303238","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238"]},{"id":"https://openalex.org/I4210140884","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210140884"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David A. Chambers","raw_affiliation_strings":["Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Drive, #3E424, Bethesda, MD, 20850, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Drive, #3E424, Bethesda, MD, 20850, USA","institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5070520141"],"corresponding_institution_ids":["https://openalex.org/I1299303238","https://openalex.org/I4210140884"],"apc_list":{"value":2680,"currency":"USD","value_usd":2680},"apc_paid":{"value":2680,"currency":"USD","value_usd":2680},"fwci":56.0879,"has_fulltext":true,"cited_by_count":353,"citation_normalized_percentile":{"value":0.99920312,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"15","issue":"1","first_page":"2","last_page":"2"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9531000256538391,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9531000256538391,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.03530000150203705,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.0044999998062849045,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/de-implementation","display_name":"de-implementation","score":0.968999981880188},{"id":"https://openalex.org/keywords/patient-harm","display_name":"patient harm","score":0.5989999771118164},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.6399999856948853},{"id":"https://openalex.org/keywords/population-health","display_name":"population health","score":0.7760000228881836},{"id":"https://openalex.org/keywords/multilevel-factors","display_name":"multilevel factors","score":0.8199999928474426},{"id":"https://openalex.org/keywords/unintended-consequences","display_name":"unintended consequences","score":0.8790000081062317},{"id":"https://openalex.org/keywords/evidence-based-interventions","display_name":"evidence-based interventions","score":0.7319999933242798},{"id":"https://openalex.org/keywords/public-health-interventions","display_name":"public health interventions","score":0.7409999966621399}],"concepts":[{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.8005387187004089},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7373707890510559},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.6971405744552612},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.6226529479026794},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.6123716831207275},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.5479856729507446},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5438758134841919},{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.5043553113937378},{"id":"https://openalex.org/C2776889888","wikidata":"https://www.wikidata.org/wiki/Q1135789","display_name":"Unintended consequences","level":2,"score":0.5020239353179932},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.49143946170806885},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.46795856952667236},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4309477210044861},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.4301443099975586},{"id":"https://openalex.org/C72497813","wikidata":"https://www.wikidata.org/wiki/Q110051588","display_name":"Implementation research","level":3,"score":0.41927939653396606},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.09365451335906982},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.07164138555526733},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.06937405467033386},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000069342","descriptor_name":"Medical Overuse","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D000077626","descriptor_name":"Implementation Science","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007722","descriptor_name":"Health Knowledge, Attitudes, Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015279","descriptor_name":"Organizational Culture","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015438","descriptor_name":"Health Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s13012-019-0960-9","doi":"https://doi.org/10.1186/s13012-019-0960-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13012-019-0960-9","pdf_url":"https://implementationscience.biomedcentral.com/track/pdf/10.1186/s13012-019-0960-9","source":{"id":"https://openalex.org/S76880069","display_name":"Implementation Science","issn_l":"1748-5908","issn":["1748-5908"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-a","fnege-4","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implementation Science","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6950868","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6950868","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implement Sci","raw_type":"Text"},{"id":"pmid:31915032","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31915032","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implementation science : IS","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:024faeacfd3442f787191e236cd7b297","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/024faeacfd3442f787191e236cd7b297","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Implementation Science, Vol 15, Iss 1, Pp 1-7 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s13012-019-0960-9","doi":"https://doi.org/10.1186/s13012-019-0960-9","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13012-019-0960-9","pdf_url":"https://implementationscience.biomedcentral.com/track/pdf/10.1186/s13012-019-0960-9","source":{"id":"https://openalex.org/S76880069","display_name":"Implementation Science","issn_l":"1748-5908","issn":["1748-5908"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-a","fnege-4","jufo-1","ki-jl-2","medline","norway-1","oarl","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Implementation Science","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3000105972.pdf","grobid_xml":"https://content.openalex.org/works/W3000105972.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W192390256","https://openalex.org/W235849963","https://openalex.org/W1507572859","https://openalex.org/W1640894779","https://openalex.org/W1665332082","https://openalex.org/W1968670396","https://openalex.org/W1981313494","https://openalex.org/W1983629797","https://openalex.org/W1993198628","https://openalex.org/W2017766892","https://openalex.org/W2043128333","https://openalex.org/W2049082071","https://openalex.org/W2080808350","https://openalex.org/W2085001923","https://openalex.org/W2092536344","https://openalex.org/W2110904269","https://openalex.org/W2111149452","https://openalex.org/W2124596021","https://openalex.org/W2138822224","https://openalex.org/W2162936048","https://openalex.org/W2324392187","https://openalex.org/W2461030672","https://openalex.org/W2475480659","https://openalex.org/W2477055860","https://openalex.org/W2516352831","https://openalex.org/W2609498601","https://openalex.org/W2737466910","https://openalex.org/W2783565196","https://openalex.org/W2884562768","https://openalex.org/W2900097331","https://openalex.org/W2902918305","https://openalex.org/W2949163152","https://openalex.org/W4245808708","https://openalex.org/W4253387666"],"related_works":["https://openalex.org/W4393061067","https://openalex.org/W2809990794","https://openalex.org/W2592742500","https://openalex.org/W7009546497","https://openalex.org/W4280531366","https://openalex.org/W2975667001","https://openalex.org/W6939737241","https://openalex.org/W4401627809","https://openalex.org/W4389765044","https://openalex.org/W2497049140"],"abstract_inverted_index":{"De-implementing":[0],"inappropriate":[1,48,83],"health":[2,36,86],"interventions":[3,49,84],"is":[4],"essential":[5],"for":[6,64],"minimizing":[7],"patient":[8,34],"harm,":[9],"maximizing":[10],"efficient":[11],"use":[12],"of":[13,32,46,61,82],"resources,":[14],"and":[15,38,67,88],"improving":[16],"population":[17],"health.":[18,90],"Research":[19],"on":[20,79],"de-implementation":[21,81],"has":[22],"expanded":[23],"in":[24,85],"recent":[25],"years":[26],"as":[27],"it":[28,52],"cuts":[29],"across":[30],"types":[31,60],"interventions,":[33,56],"populations,":[35],"conditions,":[37],"delivery":[39],"settings.":[40],"This":[41],"commentary":[42],"explores":[43],"unique":[44],"aspects":[45],"de-implementing":[47],"that":[50],"differentiate":[51],"from":[53],"implementing":[54],"evidence-based":[55],"including":[57],"multi-level":[58],"factors,":[59],"action,":[62],"strategies":[63],"de-implementation,":[65],"outcomes,":[66],"unintended":[68],"negative":[69],"consequences.":[70],"We":[71],"highlight":[72],"opportunities":[73],"to":[74,76],"continue":[75],"advance":[77],"research":[78],"the":[80],"care":[87],"public":[89]},"counts_by_year":[{"year":2026,"cited_by_count":34},{"year":2025,"cited_by_count":35},{"year":2024,"cited_by_count":69},{"year":2023,"cited_by_count":60},{"year":2022,"cited_by_count":65},{"year":2021,"cited_by_count":67},{"year":2020,"cited_by_count":23}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-01-23T00:00:00"}
