Max Rady College of Medicine
Term: Step-Down Approach
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.
- 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)
Manitoba Centre for Health Policy
Community Health Sciences, Max Rady College of Medicine,
Rady Faculty of Health Sciences,
Room 408-727 McDermot Ave.
University of Manitoba
Winnipeg, MB R3E 3P5 Canada