Coordination and cooperation

Of course, the project leaders in this program cooperate with many parties in healthcare, such as hospitals, GPs, patients and health care insurers. It is also crucial to cooperate with other initiatives in the same field.

The aim of To do or not to do, more valuable care, runs parallel to several other initiatives. Choosing Wisely Netherlands promotes conversations between clinicans and patients about unnecessary tests, treatments and procedures. Care professional societies have developed several lists with Choosing Wisely recommendations, that advise against practices used in their discipline for which tehre is strong evidence of overuse and signficant potential harm or cost. To do or not to do takes the next step to this program by implementing these recommendations in practice.

There are several programs that evaluate the (cost)effectiveness of tests and treatments, such as the programs Sustainability research, Care evaluation and Leading the change. The Patient federation leads a campaign called Better care starts with a good conversation, and a good conversation is essential to increasing the value of care. Lastly, To do or not to do has shared knowledge with the Awareness project that aims to increase awareness about appropriate care.

To do or not to do participates in Choosing Wisely International. Choosing Wisely is a campaign that started in the US in 2014 with the aim to start the conversation between clinicians and patients about unnecessary tests, treatments and procedures. Since then, over 25 countries have joined the network. In september 2017, To do or not to do co-organized the yearly Choosing Wisely conference in Amsterdam and attended the conference in Zurich in 2018. In 2017, a To do or not to do researcher (Eva Verkerk) joined Choosing Wisely Canada for three months to gain knowledge about de-implementation and their approach.