Current Status of Choosing Wisely in Japan

Tokuda, Yasuharu

doi:10.14442/general.16.3

Cited by 10 publications

(7 citation statements)

References 5 publications

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“…Both American and Japanese physicians also similarly provided potential reasons and solutions. Effective solutions are likely multifactorial and may include educational campaigns such as Choosing Wisely Japan and systems change for sharing medical data, and possibly revision of payment systems for healthcare institutions …”

mentioning

confidence: 99%

Overtesting in Japan

Soshi

Mizuta

Tokuda

2018

J of Gen and Family Med

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confidence: 99%

Overtesting in Japan

Soshi

Mizuta

Tokuda

2018

J of Gen and Family Med

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“…The choosing wisely campaign has spread over the world including Japan. The list of five recommendations has been published for enhancing value of healthcare interventions among Japanese physicians …”

Section: Discussionmentioning

confidence: 99%

Medicalization: A historical perspective

Birrer

Tokuda

2017

J of Gen and Family Med

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The spectrum of human condition is bell shaped, and an area around the midpoint has been chosen arbitrarily to define as the norm. Physically and mentally maladaptive outliers have been treated as diseases and fell into the realm of medicine. Many “nondisease” states can creep up into medicine and with time become medicalized through medicalization because of redefining many conditions long considered social or psychological phenomena as disease states. Processes regarded as natural but also maladaptive are now looked at as diseases. Major factors in the evolution of medicalization include wellness obsession, pharmaceutical industry, statistical and research saturation, media, Internet, and litigation. Unnecessary medicalization leads to huge social and financial cost as well as increased anxiety and risk for complication from further workups for incidental or clinically unimportant findings. In this special article, our concrete steps are provided to facilitate demedicalization based on professionalism of physicians.

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“…Japanese physicians seemed to be less likely to make a strong recommendation for screening tests even they believed it would be life‐saving compared with American physicians. Educational efforts, such as choosing wisely campaign, are needed to improve understanding of screening evidence and subclinical cancer diagnosis fallacy among physicians not only in the USA but also in Japan …”

Section: Understanding Among Japanese Physicians About Evidence That mentioning

confidence: 99%