Evaluation of the Choosing Wisely Australia 5 Questions resource and a shared decision-making preparation video: protocol for an online experiment

Muscat, Danielle M; Chang, Edward H.; Thompson, Rachel; Cvejic, Erin; Tracy, Marguerite; Zadro, Joshua R; Smith, Jessica; Lindner, Robyn A.; McCaffery, Kirsten

doi:10.1136/bmjopen-2019-033126

Cited by 6 publications

(13 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This makes it easier for doctors to prescribe unnecessary drugs leading to a higher cost of drugs. As part of the Choosing Wisely Campaign, it is generally recommended that patients ask their doctors the following five questions [ 46 ]. (1) Do I really need this test or procedure?…”

Section: Discussionmentioning

confidence: 99%

Survey of potentially inappropriate prescriptions for common cold symptoms in Japan: A cross-sectional study

Nakano

Watari

Adachi³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

Background Common cold is among the main reasons patients visit a medical facility. However, few studies have investigated whether prescriptions for common cold in Japan comply with domestic and international evidence. Objective To determine whether prescriptions for common cold complied with domestic and international evidence. Methods This cross-sectional study was conducted between October 22, 2020, and January 16, 2021. Patients with cold symptoms who visited the two dispensing pharmacies and met the eligibility criteria were interviewed. Main outcome measure The pharmacists at each store and a physician classified the patients into two groups: the potentially inappropriate prescribing group and the appropriate prescribing group. Results Of the 150 selected patients, 14 were excluded and 136 were included in the analysis. Males accounted for 44.9% of the total study population, and the median patient age was 34 years (interquartile range [IQR], 27–42). The prevalence rates of potentially inappropriate prescriptions and appropriate prescriptions were 89.0% and 11.0%, respectively and the median drug costs were 602.0 yen (IQR, 479.7–839.2) [$5.2 (IQR, 4.2–7.3)] and 406.7 yen (IQR, 194.5–537.2) [$3.5 (IQR, 1.7–4.7)], respectively. The most common potentially inappropriate prescriptions were the prescription of oral cephem antibacterial agents to patients who did not have symptoms of bacterial infections (50.4%) and β2 stimulants to those who did not have respiratory symptoms due to underlying disease or history (33.9%). Conclusions Approximately 90% of prescriptions for common cold symptoms in the area were potentially inappropriate. Our findings could contribute to the monitoring of the use of medicines for the treatment of common cold symptoms.

show abstract

Section: Discussionmentioning

confidence: 99%

Survey of potentially inappropriate prescriptions for common cold symptoms in Japan: A cross-sectional study

Nakano

Watari

Adachi³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…1,2,13,16 So while there are a vast number of available QPLs available directly to patients, 20 there needs to be consideration of how clinical practice and doctors' heuristics might need to adjust to meet national standards. Furthermore, while some QPLs are focused on SDM, 30,31 other QPLs that cover a broader range of purposes in consultations such as agenda setting or use as a checklist may need to align with different key points in existing heuristics to maximize endorsement and use.…”

Section: Discussionmentioning

confidence: 99%

Doctors’ Attitudes to Patient Question Asking, Patient-Generated Question Lists, and Question Prompt Lists: A Qualitative Study

et al. 2021

View full text Add to dashboard Cite

Background Participation by patients in their own health care improves quality and safety. Question prompt lists (QPLs) can improve participation, particularly with doctors’ endorsement. Few data have explored doctors’ attitudes on these tools. We sought the experiences and attitudes of general practitioners and other specialists toward patient question asking and QPLs in their practice. Methods In-depth, semistructured interviews and focus groups with purposively selected Australian doctors were conducted. Interview guides were used to explore doctors’ experiences of patient question asking, patients’ lists, and a sample QPL created using an Australian government-funded online tool, “Question Builder.” Recordings were transcribed verbatim and data analyzed thematically using the method by Braun and Clarke. Results Focus groups with 3 to 9 participants and a further 17 individual interviews were conducted. There was a total of 40 participants, 23 general practitioners and 17 other specialists (e.g., physicians, surgeons, pediatricians). Our analysis was summarized into several themes. 1) The doctors expected, encouraged, and had significant experience of patient question asking and patients’ lists. They described many barriers for patients and their efforts to ensure patients had the information they needed. 2) The doctors felt responsible for creating an environment conducive to patient question asking, the delivery of answers, having strategies for unanswered questions, and balancing the agendas of both parties in the consultation. 3) Structured QPLs that prepared patients and facilitated the consultation agenda were viewed positively. The degree of time pressures participating doctors experienced in their context had a strong influence on how they responded to the sample QPL. Conclusion Doctors in this study expected patients to ask questions and endorsed the benefits of QPLs. However, there were more diverse views about the feasibility of implementing them in practice. Designing QPLs to fit within current workflows, via more succinct and tailored designs, may result in wider doctor acceptance and endorsement, hence maximizing the benefits of QPLs with improved patient participation and patient safety.

show abstract

“…Initiating communication with consumers can be difficult for health professionals, especially when consumers' expectations do not align with evidence‐based practices (Buist et al, 2016; Muscat et al, 2019). Some expectations include the consumers' desired course of action, their overestimation of the benefits of tests, treatments, and procedures, with an underestimation of potential harm (Allen et al, 2019; Schlesinger & Grob, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Consumers are recognized as experts in their personal care with capacity to collaborate with health professionals (Muscat et al, 2019). Empowering patients as consumers in the decision‐making process with health professionals about their care is essential to maximizing optimal care (Bomhof‐Roordink et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Engaging consumers and health professionals in collaborative decision‐making to optimize care

Giles

Terblanche

et al. 2021

Nursing & Health Sciences

View full text Add to dashboard Cite

Shared communication and collaborative decision‐making between consumers and health professionals is essential in optimizing the quality of consumer care. However, the consumers' ability to ask questions and seek answers, as well as health professionals' communication skills to engage with the consumer, are necessary considerations for the collaborative decision‐making process. This quality improvement initiative sought to understand the context of collaborative decision making from the perspective of consumers and health professionals adapted from the international Choosing Wisely program. Findings indicated health professionals acknowledged a problem with unnecessary and overuse of tests, treatments, and procedures. Consumers suggested they were confident asking questions about their health and care. The findings of this study highlight collaborative decision‐making as a worthwhile and beneficial undertaking.

show abstract

Evaluation of the Choosing Wisely Australia 5 Questions resource and a shared decision-making preparation video: protocol for an online experiment

Cited by 6 publications

References 33 publications

Survey of potentially inappropriate prescriptions for common cold symptoms in Japan: A cross-sectional study

Survey of potentially inappropriate prescriptions for common cold symptoms in Japan: A cross-sectional study

Doctors’ Attitudes to Patient Question Asking, Patient-Generated Question Lists, and Question Prompt Lists: A Qualitative Study

Engaging consumers and health professionals in collaborative decision‐making to optimize care

Contact Info

Product

Resources

About