How do Patients React when we De-implement a Low-value Practice?

March 04, 2020
12 p.m. - 1 p.m.
Goldfarb Hall, #33, Danforth Campus

The Center for Dissemination & Implementation Seminar Series brings leaders in the field of public health to campus throughout the academic year to offer talks on a variety of relevant topics. Join us on March 3rd for How do Patients React when we De-implement a Low-value Practice? Mixed-methods findings from a provider-randomized QI project to reduce inappropriate inhaled corticosteroids for patients with COPD with Christian Helfrich.

One of the concerns with de-implementing low-value health care practices is how patients will respond. They might perceive de-implementation as rationing motivated by cost. There is research exploring patient attitudes but it has almost exclusively been focus groups asking about attitudes toward medical overuse in general terms, or posing hypothetical cases. But little research has assessed how patients respond when their provider proposes de-implementing a specific medication. Dr. Helfrich will share findings from both patient and provider perspectives from a multi-site QI project to de-implement low-value inhaled corticosterioid prescriptions for patients with chronic obstructive pulmonary disease. We’ll also discuss what aspects of these findings may or may not be generalized and how.

This event is free and open to all. No registration is necessary. Attendees are encouraged to bring their own lunch.

Request a consultation with Dr. Helfrich by contacting


About the speaker

Christian Helfrich, PhD, MPH
Research Investigator
Veterans Administration Puget Sound Health Care System

Dr. Helfrich is a Core Investigator with HSR&D, Research Assistant Professor, Department of Health Services at the University of Washington School of Public Health, and Implementation Research Coordinator for the VA Ischemic Heart Disease Quality Enhancement Research Initiative, a collaboration between VA Health Services Research and Clinical Operations to speed the adoption and implementation of evidence-based practices for priority conditions among Veterans. Dr. Helfrich is also Chair of the Organizational Function Working Group, a part of the VA Patient Aligned Care Team (PACT) Demonstration Laboratory Coordinating Center, which is tasked with evaluating the implementation of a patient-centered medical home model in VA. His primary research interests are organizational change and implementation science, specifically on assessing organizational readiness to change in the context of evidence-based practices, and factors influencing implementation of large scale initiatives. Dr. Helfrich received his PhD in Health Policy and Management from the University of North Carolina at Chapel Hill, and his MPH from the Department of Health Services at the University of Washington School of Public Health.



Event Sponsors: Center for Dissemination and Implementation at the Institute for Public Health

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