Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems.
Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Int J Qual Health Care. 2020;32(4):271-274. doi:10.1093/intqhc/mzaa023.
Research has identified variations in patient care that are unlikely to be related to patient characteristics. This commentary suggests joint decision making between providers, learning health systems, and collaborative networks may reduce variations.