Response to ‘Choosing Wisely should bring the cost of unnecessary care back into the discussion’; Choosing Wisely’: a growing international campaign

Born, Karen; Levinson, Wendy

doi:10.1136/bmjqs-2017-006588

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…Indeed, ecological sustainability is today considered, together with effectiveness, efficiency, safety and equity, one of the dimensions through which the quality of care is expressed and evaluated. 12,13 Considering the interest and sensitivity highlighted by dermatologists during the ADOI Congress we mentioned at the beginning of this paper, we believe that joining Choosing Wisely Italy represents the immediate and concrete sign of the unanimous commitment that Italian dermatologists could make to deal with the climate emergency and improve the quality of care. To participate in the project, ADOI must register as an institutional member of Slow Medicine.…”

Section: Let's Join the National And International Movements Focused ...mentioning

confidence: 93%

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Choosing Wisely Italy, and the role of doctors in containing the climate emergency

Bonaldi

2023

Dermatol Reports

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The philosopher of science, Telmo Pievani, in his beautiful and passionate presentation on 30 September 2023, at the conclusion of the 60th National Congress of the Italian Association of Hospital Dermatologists (ADOI) held in Vicenza, reminded us with simple words and concrete examples of the devastating impact of human behavior on the environment and biodiversity, highlighting the growing deterioration of the delicate natural balances that preserve terrestrial ecosystems and with them life on our planet [...]

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Section: Let's Join the National And International Movements Focused ...mentioning

confidence: 93%

Section: Let’s Join the National And International Movements Focused ...mentioning

confidence: 99%

Choosing Wisely Italy, and the role of doctors in containing the climate emergency

Bonaldi

2023

Dermatol Reports

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“…Wise Care involves selection of consumer‐focused, beneficial treatments so that unnecessary risk, including non‐beneficial or unnecessary treatment, can be avoided (ACSQHC, n.d.; Born & Levinson, 2017; Légaré et al, 2018; Stacey et al, 2017). Choosing Wisely, an element of Wise Care, is a program that promotes shared decision‐making by using tools to scaffold clinician‐patient conversations about treatment decisions.…”

Section: Introductionmentioning

confidence: 99%

Clinician perspectives of pregnant women's participation in antiemetic decision‐making: A qualitative study

Gornall

Hutchinson

Redley

2022

Nursing & Health Sciences

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This study explored clinician perceptions of women's participation in decision-making about antiemetic treatments during pregnancy, and the suitability of the five Choosing Wisely questions to increase women's involvement. The qualitative interpretive descriptive design used semi-structured interviews to capture data. Participants were six obstetricians and six midwives experienced in providing care for pregnant women seeking support for nausea and vomiting at a single private, obstetrician-led maternity health service in Australia. Thematic analysis revealed four themes that captured clinician perspectives about women's participation in decision-making about antiemetic treatments: (i) information gathering; (ii) developing an understanding;(iii) using knowledge; and (iv) making decisions. Clinician attitudes and perspectives, as well as their self-reported styles of communication and negotiation, influenced how they engaged with women during decision-making. While unfamiliar with the five Choosing Wisely questions, almost all participants considered them potentially useful, but for other clinicians. Strategies to actively involve women in decisionmaking about antiemetics were inconsistently used. The five Choosing Wisely questions may provide a useful tool for clinicians, but further research is needed to better understand women's perspectives and clinician-related barriers to shared decisionmaking.

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“…Time and again, the author stresses the importance of nondrug therapy and failure of psychiatric drugs (especially the antidepressants). Although true and the healthcare world is catching upon this rational and judicial use of drugs, is the relevance of nondrug therapy overemphasized?…”

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confidence: 99%

Commentary to “Patients not patents: drug research and development as a public enterprise”

Raj

2018

Eur J Clin Investigation

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Response to ‘Choosing Wisely should bring the cost of unnecessary care back into the discussion’; Choosing Wisely’: a growing international campaign

Cited by 4 publications

References 7 publications

Choosing Wisely Italy, and the role of doctors in containing the climate emergency

Choosing Wisely Italy, and the role of doctors in containing the climate emergency

Clinician perspectives of pregnant women's participation in antiemetic decision‐making: A qualitative study

Commentary to “Patients not patents: drug research and development as a public enterprise”

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