Table 8.
Identified determinants for the use of LVC and de-implementation of LVC
| Studies on determinants for LVC use total n = 92 | Studies on determinants for de-implementation total n = 9 | |||||
|---|---|---|---|---|---|---|
| Determinants | Total no of studies including the determinant | No (%) of studies linking the determinant to LVC use | No (%) of studies linking the determinant to low LVC use | Total no of studies including the determinant | No (%) of studies with the determinant as a facilitator of de-implementation | No (%) of studies with the determinant as a barrier to de-implementation |
| Patient determinants | ||||||
| Patient characteristics | 39 | 37 (94.9) | 10 (25.6) | - | ||
| Patient health condition | 19 | 17 (89.5) | 2 (10.5) | - | ||
| Patient expectations | 16 | 16 (100) | 5 | 5 (100) | ||
| Patient knowledge | - | 2 | 1 (50.0) | 1 (50.0) | ||
| Expectations from relatives | 2 | 2 (100) | - | |||
| Professional determinants | ||||||
| Professional characteristics | 28 | 24 (85.7) | 7 (25.0) | - | ||
| Professional knowledge of LVC | 9 | 6 (66.7) | 3 (33.4) | 1 | 1 (100) | |
| Professionals’ expectations, attitudes and behaviours | 18 | 17 (94.4) | 2 (11.1) | 5 | 5 (100) | |
| Professionals' memory | - | 1 | 1 (100) | |||
| Outer context determinants | ||||||
| Location | 14 | 13 (92.9) | 5 (35.7) | - | ||
| Economy | 15 | 13 (86.7) | 4 (26.7) | 1 | 1 (100) | |
| Outer context characteristics | 7 | 4 (71.4) | 3 (42.9) | - | ||
| Patient volume | 4 | 4 (100) | - | |||
| Policy and political support | 3 | 1 (33.4) | 2 (66.7) | 3 | 2 (66.7) | 1 (33.4) |
| Marketing | 3 | 3 (100) | - | |||
| Time | 4 | 4 (100) | - | |||
| Pressure from suppliers | - | 1 | 1 (100) | |||
| Inner context determinants | ||||||
| Setting characteristics | 19 | 15 (78.9) | 6 (31.6) | 1 | 1 (100) | |
| Work/care process | 20 | 18 (90.0) | 4 (20.0) | 3 | 3 (100) | |
| Staff composition | 3 | 3 (100) | - | |||
| Organisational structures related to the LVC | 5 | 5 (100) | - | |||
| Interaction between professionals | 4 | 4 (100) | 1 | 1 (100) | ||
| Culture | 3 | 3 (100) | 1 | 1 (100) | ||
| Patient-provider communication/interaction | 2 | 2 (100) | - | |||
| Process determinants | ||||||
| Strategies | 4 | 4 (100) | - | |||
| De-implementation process | - | 2 | 1 (50.0) | 1 (50.0) | ||
| Evidence and LVC practice determinants | ||||||
| Evidence | 7 | 7 (100) | 1 | 1 (100) | ||
| Characteristics of the LVC | 2 | 2 (100) | - | |||
| Negative consequences of reducing LVC for the professional | - | 1 | 1 (100) | |||
| Characteristics of alternative practice | 2 | 2 (100) | 1 | 1 (100) | ||
| Othera | 3 | 3 (100) | - | |||
aPatient already using the LVC, day of the week (Wednesday), disease label