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Choosing Wisely® in Hematology: Have We Made a Difference?
- Source :
- Current Hematologic Malignancy Reports
- Publication Year :
- 2020
- Publisher :
- Springer US, 2020.
-
Abstract
- Purpose of Review The Choosing Wisely® initiative, led by the American Board of Internal Medicine Foundation in collaboration with national professional medical societies, aims to help patients choose care that is essential, free from harm, and evidence-based. The American Society of Hematology has advocated practices specific to hematology for physicians and patients to examine carefully. Here, we summarize various barriers to adopting these practices, interventions used to improve adoption, and challenges in measuring the effectiveness of these interventions. Recent Findings The Choosing Wisely® campaign has become an international effort with more than 20 countries worldwide having embraced it. Such widespread interest indicates that the campaign initiated an important dialog between patients and physicians about overutilization of resources. Evidence showing the positive impact of interventions on adopting these practices is accumulating, but their effect on improving clinical outcomes is uncertain. Summary Decreasing overuse of resources is a cultural change in perspective for practitioners and patients alike. We believe that healthcare delivery is transitioning from being volume-based to value-based. As we continue to support the Choosing Wisely® campaign, we need to implement strategies to document and measure the influence of our value-based recommendations on physician practices, patient care and attitudes, and healthcare costs.
- Subjects :
- Value (ethics)
Cancer Research
Cost-Benefit Analysis
Clinical Decision-Making
Psychological intervention
Health Promotion
Medical Overuse
Choosing wisely
Choice Behavior
Risk Assessment
Patient care
03 medical and health sciences
0302 clinical medicine
Healthcare delivery
Risk Factors
Health care
Value-based
Medicine
Humans
Value-Based Health Insurance
Dialog box
Practice Patterns, Physicians'
Medical education
Evidence-Based Medicine
business.industry
Harms
Delivery of Health Care, Integrated
Foundation (evidence)
Health Care Costs
Hematology
Healthcare costs
Health Economics (N Khera, Section Editor)
Harm
Oncology
030220 oncology & carcinogenesis
Patient Safety
Patient Participation
business
030215 immunology
Subjects
Details
- Language :
- English
- ISSN :
- 1558822X and 15588211
- Database :
- OpenAIRE
- Journal :
- Current Hematologic Malignancy Reports
- Accession number :
- edsair.doi.dedup.....301f67b8a597c0381e1831422dc64939