The Choosing Wisely campaign encourages physicians to avoid low-value care. Although widely lauded, no study has examined its impact on clinical decisions made in primary care settings.
METHODS:
We compared clinical decisions made for 5 Choosing Wisely recommendations over two 6-month time periods before and after the campaign launch and an educational intervention to promote it at 3 primary care residency clinics.
RESULTS:
The rate of recommendations adherence was high (93.2%) at baseline but did significantly increase to 96.5% after the launch. These findings suggest primary care physicians respond to training and publicity in low-value care, though further research is needed.
CONCLUSION:
Given that even small decreases of physician test ordering can produce large cost savings, the Choosing Wisely project may help achieve the health care triple aim.
OverigEducational gatheringsPatient directed interventions
Auteurs
Kost A
Genao I
Lee JW
Smith SR
Link
A Community Health Nursing Approach to the Problem of Antibiotic Over-Prescribing
Audit and Feedback: effects on professional practice and healthcare outcomes
Sustained reduction in inappropriate treatment of asymptomatic bacteriuria in a long-term care facility through an educational intervention.
Can computerized clinical decision support systems improve practitioners’ diagnostic test ordering behavior? A decision-maker-researcher partnership systematic review
An administrative intervention to improve the utilization of laboratory tests within a university hospital.