To do or not to do? is a Dutch national program that aims to support healthcare providers to make well informed choices. It is supported by the Citrien fund, which helps to develop sustainable healthcare improvements.

A well informed choice can be to choose the most effective therapy or right diagnostic procedure. But it can also be to, together with the patient, decide not to perform surgery or do an MRI scan because the diagnostic value is low.
The program aims to collect knowledge and experience about how caregivers can stop delivering unnecessary care and how this knowledge and experience can be spread to other healthcare providers.

The program To do or not to do? has three main goals:

  • Identify what care is of low-value
  • Study how low-value care can be reduced sustainably
  • Reduce low-value care in clinical practice