Many studies have shown that once physicians become conditioned to be more invasive, it’s hard for them to reverse course. This year a study highlighted the results of a randomized trial to reduce the rate of C-sections, which have become too common in the past decade. Conducted over one and a half years in 32 hospitals in Quebec, the positive results mentioned included a reduction from 22.5 percent of cases to 21.8 percent. That’s what success often looks like, after spending lots of money and many man-hours in interventions. It’s unlikely that will occur generally for this recommendation.
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