Max Rady College of Medicine

Term: Step-Down Approach

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Glossary Definition

Last Updated: 2005-11-24


The step-down approach proposes that patients should initially be treated with more powerful and costly alternatives, only being stepped-down to a less intensive intervention in strictly defined circumstances. The principal problem inherent in this approach is the universal application of a powerful and costly drug for patients for which less intensive interventions may have been adequate. Contrasting is the Step-Up Approach.

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  • Metge C, Kozyrskyj A, Dahl M, Yogendran M, Roos NP. Pharmaceuticals: Focussing on Appropriate Utilization. Winnipeg, MB: Manitoba Centre for Health Policy, 2003. [Report] [Summary] (View)
  • Morgan SG, Kozyrskyj A, Metge C, Roos NP. Pharmaceuticals: Therapeutic interchange and pricing policies. Winnipeg, MB: Manitoba Centre for Health Policy, 2003. [Report] [Summary] (View)

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Manitoba Centre for Health Policy
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Rady Faculty of Health Sciences,
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