'Choosing Wisely': a growing international campaign
'Choosing Wisely': a growing international campaign
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DOI：
10.1136/bmjqs-2014-003821
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发表时间：
2015-02-01
影响因子：
5.4
通讯作者：
Kerr, Eve A.
中科院分区：
文献类型：
--
作者：
Levinson, Wendy;Kallewaard, Marjon;Kerr, Eve A.
人们对检测和治疗的不当使用和不足给予了很大的关注，但直到最近，人们才注意到过度使用并不能为患者增加价值，甚至可能造成伤害。选择明智是一项运动，让医生和病人就不必要的检查、治疗和程序进行对话。该活动于2012年在美国启动，2014年在加拿大启动，目前世界上许多国家都在调整并实施该活动。本文介绍了12个国家的“明智选择”计划的现状。它阐明了关键要素，一套五项原则，并描述了各国在明智选择的早期阶段面临的挑战。这些国家计划继续合作，包括制定衡量过度使用的指标。
Much attention has been paid to the inappropriate underuse of tests and treatments but until recently little attention has focused on the overuse that does not add value for patients and may even cause harm. Choosing Wisely is a campaign to engage physicians and patients in conversations about unnecessary tests, treatments and procedures. The campaign began in the United States in 2012, in Canada in 2014 and now many countries around the world are adapting the campaign and implementing it. This article describes the present status of Choosing Wisely programs in 12 countries. It articulates key elements, a set of five principles, and describes the challenges countries face in the early phases of Choosing Wisely. These countries plan to continue collaboration including developing metrics to measure overuse.