Navigating High and Low-Value Care in Healthcare: A Focus on Musculoskeletal Conditions

This chapter explores the challenges of providing high-value care in musculoskeletal healthcare, discussing the nuances of cost-effectiveness and patient benefit. It delves into the drivers of low-value care in private practice physiotherapy and sports medicine, touching on economic incentives, pressure to provide cutting-edge treatments, and the culture of health care consumption. The chapter also examines the role of initiatives like Choosing Wisely in reducing unnecessary tests and treatments, highlighting issues in implementation and the balance between underutilization and overuse of imaging techniques in clinical practice.