Training Physicians to Provide High-Value Care

Part of the approach to improving delivery of high-value medical care is physician education. In this systematic review, researchers identified 79 studies in which interventions to train physicians to provide high-quality, cost-conscious care were evaluated; 62 studies were from North America, 14 were randomized trials, and 46 were pre–post-interventional studies. About 60% of studies focused on practicing physicians or other healthcare professionals, and 21% targeted resident physicians or medical students.

In 87% of studies, the interventions improved delivery of appropriate, cost-effective care. Data analysis revealed that three factors influenced the success of these interventions: (1) knowledge transmission, (2) reflective practice, and…