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Choosing Wisely Campaign

Do some Web surfing and reading about the “Choosing Wisely” campaign, starting with the two sites below but not limited to them. Then, post some preliminary answers to the following questions about the Who and Why of the campaign:

  • Who is spearheading and participating in the campaign, and what are the values of these groups?
  • Who is the campaign targeting, and what are their values?
  • To what conditions and concerns is the campaign responding (in other words, what the campaign’s exigencies)?
  • What are the campaign’s purposes ? What actions does it hope to inspire and what does it ultimately want to accomplish?

Starting links:

Campaign website

ABIM website

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10 Comments

  1. sarahmhudak says:

    The ABIM Foundation started the Choosing Wisely program, and numerous other companies are participating in the foundation’s newest long-term initiative including National Physicians Alliance, American College of Physicians, and Society of Hospital Medicine. The values of the ABIM Foundation match their many partners’ values. These values focus on improving the healthcare system by working on professionalism in the field. They aim to do this by reiterating the importance of policies and organization, encouraging physicians to seek improvement of overall care, supporting the growth for quality’s sake, and learning from international healthcare providers.

    The campaign is targeting both physicians and patients. In order for their purpose to thrive, they value communication and ethical approaches that will benefit the patients as much as possible.

    The campaign is responding to the fact that their consumers, patients, are not receiving adequate information about the services that physicians are providing for them. Many tests and treatments may be unnecessary for a patient. Some patients do genuinely need a treatment, but oftentimes, they are left in the dark about what their physician is supplying. Sometimes, tests and treatments that need to be available aren’t available due to a patient not knowing what types of questions to ask their physician.

    The campaign’s main focus is discussion. Patients need to discuss with their physicians their concerns and what they need; likewise, physicians need to discuss with their patients what a treatment options are available and what exactly the procedures entail. Through these conversations, the campaign hopes to promote a more educated selection of healthcare for the patients and a more informative relationship from the physician to their patients.

  2. kgardner1130 says:

    The ABIM Foundation is spearheading the “Choosing Wisely” campaign. This foundation is working to advance professionalism in medicine and improve the quality of care. Several other professional specialty organizations have also joined in on the “Choosing Wisely” campaign. Each of these organizations works to further their respective specialty.

    The “Choosing Wisely” campaign is aimed at physicians and patients to increase the communication between the two parties. The campaign hopes to teach physicians to choose care that is evidence based and necessary. Tests and procedures should not be duplicated by more than one physician and all care should pose minimal risk. The campaign also challenges patients to educate themselves about their own healthcare. It promotes a proactive approach to healthcare. Primarily, the campaign wants to encourage more communication between physicians and patients so that health care is both efficient and good quality.

  3. hgmohan says:

    The point of the “Choosing Wisely” campaign is to bolster communication between doctors and patients, specifically to cut the amount of unnecessary testing that is done. In other words, both parties have to support “evidence-based” medicine.

    That being said, one thing that is not brought up on this website is the reason of “unnecessary” testing. Doctors and health professionals don’t like it any more than the patients do, but there’s a reason it is being done. America is a very litigious country, and if there’s a medical error, most will not think twice about going to court. Doctors in this country are forced to cover all their bases with a multitude of tests–it’s called defensive medicine. The more tests that are ordered, the stronger their case in court becomes, should it come to that.

    I like this plan, because it makes the medical decision-making more transparent. Some of the power is shifted over to the patient. If the patient has a more direct hand in the treatment he or she receives, it takes away some of the doctor’s liability, as well as cutting back on defensive medicine as a whole. A chain reaction will start: decreasing the number of tests ordered saves money, which can then be allocated to other aspects of our health care system that haven’t been receiving a lot of attention.

  4. kprashad says:

    The Choosing Wisely campaign was begun by the ABIM Foundation and more than thirty specialty societies have now joined the campaign. The values of theses groups range from different parts of medicine, but they all want to help people and find new ways to solve different diseases. Choosing Wisely partners include: American Academy of Allergy, Asthma, and Immunology, the Academy of Family Physicians, the College of Cardiology, the College of Physicians, the College of Radiology, the Gastroenterological Association, and many other associations in America.

    Choosing Wisely is focused on encouraging physicians, patients, and other health care stakeholders to think and talk about medical tests and procedures that may be unnecessary, and in some instances cause harm.

    Some problems that are faced would be conflict of interests in education, practice, and research and conflict of interest in curriculum for medical students, residents, and practicing physicians. They are also trying to give the patients adequate information to their patients so that they could make the choice they truly want.

    Choosing Wisely aims to promote conversations between physicians and patients by helping patients choose care that is supported by evidence, not duplicative of other tests or procedures already received, free from harm, truly necessary. Recognizing that patients need better information about what care they truly need to have these conversations with their physicians, Consumer Reports is developing patient-friendly materials and is working with consumer groups to disseminate them.

    Here’s a video on it.

  5. apectol91 says:

    The campaign is lead by ABIM Foundation along with numerous other contributing foundations/societies. The goal if this campaign is to improve the health care system in its delivery and effectiveness of the quality of care, accessibility to that care as well as communication and professionalism associated with patient-provider relationships. This campaign also looks at the costs involved with health care and aims to reduce these through elimination of unnecessary diagnostic testing. Both patients and providers are the target of this campaign, with the goal of steering toward “evidence-based” research, medicine and procedures. Quite frankly, the US health care system is slowly heading down the shitter, and this campaign is responding to that. The population is aging at an incomparable rate with the baby boomer generation reaching their elderly years, which calls for reform as well as more care and consideration to the quality of care being delivered to patients. It is hoped that physicians will take greater care to provide their patients with the highest quality of care with imposes the lowest amount of risk to the patient (through use of evidence-based procedures) as well as hope that patients will take greater care and assume more responsibility toward their own health and take greater strides at their personal care.

  6. erahmes says:

    The “Choosing Wisely” campaign focuses on strengthening the communication between patients and physicians in hopes to decrease unnecessary treatment and testing. One of their partners is Consumer Reports. According to them, “up to a third of all medical care delivered in the U.S. may be unnecessary”. This is a problem when it comes to the health of the patient as well as the cost of the needless care. The most commonly overused treatments and tests were compiled into a list. PDF’s of each of these were made to educated patients and physicians on when these are necessary and when they are not. The campaign is focusing on making more reports and diversifying the population of which these lists will reach. This campaign emphasizes the importance of the patient being educated about what treatments and tests they need or don’t need.

  7. pmgomezg says:

    The Choosing Wisely campaign led by the ABIM foundation was created in order to reduce the cost of health care as well as to improve the effectiveness of the health care system. Their mission statement so to speak is “The Responsibility of Physicians, Patients and the Health Care Community in Building a Sustainable System” Sponsored by seventeen plus other organizations, this campaign reflects much of these organization’s beliefs. Many and most of these organizations are specialized organizations made up of specific health professionals that strive to provide the best quality care for the patients, and have specific goals in mind that parallel with the goals of the Choosing Wisely campaign. For example, the American College of Radiologists aim to create smarter practices in which imaging techniques are used when needed and not inconsequentially and without a meaningful purpose. Like with this association most other partners of the choosing wisely campaign have similar goals in mind for their specific health field.
    Although there are so many partners of this campaign and the adoption of better practices are necessary, the other big chunk of this campaign deals with every day people and consumers that use the health care system … so practically everyone. The other main goal of this campaign is to increase the communication between patient and physician and this can only be done if patients are knowledgeable about the treatments and procedures available and the use of them. In order to do this properly many of the partnered associations have created a list of five things that patients should ask their physicians in regards to their condition. This kind of open talk will allow unnecessary costs to be reduced because unnecessary procedures and tests will be avoided. These five questions as well as helpful resources provided from the associations are directed to a variety of consumer demographics.
    Some helpful links follow:

    http://www.choosingwisely.org/doctor-patient-lists/pap-tests/
    http://www.choosingwisely.org/doctor-patient-lists/imaging-tests-for-lower-back-pain/

  8. igoldfarb says:

    The “Choosing Wisely” campaign is being lead by the ABIM Foundation. The goal of the foundation is to catalyze improvements in health care by advancing medical education. The engage physicians in advancing the quality of care & support new competencies to improve quality.

    The Choosing Wisely campaign is aimed at the relationship between physicians and their patients. They value the relationship between these two people and understand that the strength of this relationship is essential to health care prospering and patients being satisfied with their care and their doctors values & performance.

    The campaign is responding to the fact that many patients feel that their is a lack of communication between doctors and physicians. They feel that because of this lack of communication excess tests are ordered, essential tests aren’t ordered and proper consultations are not called. A lot of patients go misdiagnosed because they do not accurately describe their symptoms to their doctor, which is one of the main issues with health care that the Choosing Wisely campaign hopes to eradicate.

    The campaign ultimately hopes to open the channels of communication between patients and their doctors. Not just patients speaking to their doctor; but doctors explaining fully the different possibilities for the sickness the patient is going through, the different tests or medicines that can be ordered and the side effects/risks of those tests or medicines. Basically they hope to spread the idea that communication is a simple skill that when improved can improve health care overall.

  9. ryanmarracino says:

    The choosing wisely campaign was spearheaded by the American Board of Internal Medicine (ABIM) along with nine other specialty organizations. The ABIM website says the goal of the organization is to advance medical professionalism in clinical policies and practice. The Choosing Wisely campaign is targeted toward practicing physicians and their communication with patients. The campaign is trying to eliminate unnecessary practices and procedures that are not benefitting the patient or also possibly hurting the patient. They hope to do this by getting doctors to use more evidence based tests that reduce risk as much as possible for the patient. They asked each specialty organization to come up with five common tests or procedures whose necessity should be discussed with regards to their necessity.

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