Choosing wisely--the politics and economics of labeling low-value services.
نویسندگان
چکیده
More than 40 medical specialties have identified "Choosing Wisely" lists of five overused or low-value services. But these services vary widely in potential impact on care and spending, and specialty societies often name other specialties' services as low value.
منابع مشابه
How prevalent and costly are Choosing Wisely low-value services? Evidence from Medicare beneficiaries.
(1) Through the Choosing Wisely initiative, medical specialty societies identified non-indicated cardiac testing in low-risk patients and short-interval dual-energy X-ray absorptiometry (DXA) or bone density testing as low-value care. (2) Nationally, 13 percent of low-risk Medicare beneficiaries received non-indicated cardiac tests, and 10 percent of DXAs reimbursed by Medicare were administere...
متن کاملPhysician Cost Consciousness and Use of Low-Value Clinical Services.
PURPOSE Choosing WiselyTM engaged medical specialties, creating "top 5 lists" of low-value services. We describe primary care physicians' (PCPs') self-reported use of these services and perceived barriers to guideline adherence. We quantify physician cost consciousness and determine associations with use. METHODS PCP attendees of a continuing medical education conference completed a survey. F...
متن کاملTrends in Troponin-Only Testing for AMI in Academic Teaching Hospitals and the Impact of Choosing Wisely®.
BACKGROUND Identifying hospitals that are both early and consistent adopters of high-value care can help shed light on the culture and practices at those institutions that are necessary to promote high-value care nationwide. The use of troponin to diagnose acute myocardial infarction (AMI), and not to test for myoglobin or creatine kinase-MB (CK-MB), is a high-value recommendation of the Choosi...
متن کاملUse of non-indicated cardiac testing in low-risk patients: Choosing Wisely.
To cite: Colla CH, Sequist TD, Rosenthal MB, et al. BMJ Qual Saf 2015;24:149–153. INTRODUCTION In 2011, the American Board of Internal Medicine Foundation created the Choosing Wisely initiative, which encourages physicians to be responsible stewards of finite healthcare resources. Through this programme, specialty societies have created lists of “Five Things Physicians and Patients Should Quest...
متن کاملAre You Choosing Wisely in Your Professional Practice?
To enhance the value of care provided to Americans, the American Board of Internal Medicine and Consumer Reports launched the Choosing Wisely® initiative in 2012. Choosing Wisely educates providers and patients about high-frequency, low-value care practices that can be avoided to decrease cost and increase the value of health care. The Oncology Nursing Society collaborated with the American Aca...
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ورودعنوان ژورنال:
- The New England journal of medicine
دوره 370 7 شماره
صفحات -
تاریخ انتشار 2014