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Table 3 Overview of the themes and subthemes of challenges involved in governing the de-implementation of LVC

From: National governance of de-implementation of low-value care: a qualitative study in Sweden

Theme

Subtheme

Unfavourable change incentives

Vested interests

 

Low priority for de-implementation of LVC

Ambiguous evidence

Insufficient evidence

 

Quickly evolving evidence

Unclear roles

Decentralized decision-making

 

No formal mandate to govern de-implementation

 

Overlap of stakeholders’ functions and responsibilities