Factors influencing current low‐value follow‐up care after basal cell carcinoma and suggested strategies for de‐adoption: a qualitative study

Summary

Background

Providing follow‐up to low‐risk basal cell carcinoma (BCC) patients can be considered as low‐value care. However, dermatologists still provide substantial follow‐up care to this patient group, for reasons not well understood.

Objectives

The aim of this study was to identify factors influencing current BCC follow‐up practices among dermatologists and suggested strategies to de‐adopt this low‐value care. In addition, views of patients regarding follow‐up care were explored.

Methods

A qualitative study was conducted consisting of 18 semi‐structured interviews with dermatologists and three focus groups with a total of 17 low‐risk BCC‐patients who had received dermatological care. The interviews focused on current follow‐up practices, influencing factors, and suggested strategies to de‐adopt the follow‐up care. The focus groups comprised preferred follow‐up schedules and providers as well as content of follow‐up. All (group)interviews were transcribed verbatim, and analysed by two researchers using Atlas.ti software.

Results

Factors influencing current follow‐up care practices among dermatologists included complying with patients' preferences, lack of trust in general practitioners (GPs), financial incentives and force of habit. Patients reported varying needs regarding periodic follow‐up visits, preferred to be seen by a dermatologist and indicated a need for improved information provision. Suggested strategies by dermatologists to de‐adopt the low‐value care encompassed educating patients with improved information, educating GPs to increase trust of dermatologists, realising appropriate financial reimbursement and informing dermatologists about the low‐value of care.

Conclusions

A mixture of factors appear to contribute to current follow‐up practices after low‐risk BCC. In order to de‐adopt this low‐value care, strategies should be aimed at dermatologists, GPs as well as patients.

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