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Changing Clinician Behavior When Less Is More

Changing Clinician Behavior When Less Is More Trends in Use of Seven Low-Value Health Care Services Original Investigation Research Invited Commentary LESS IS MORE Ralph Gonzales, MD, MSPH; Adithya Cattamanchi, MD, MAS The American Board of Internal Medicine Foundation from consumers (eg, through continued grassroots efforts from intended for the Choosing Wisely campaign to support consumer groups involved in the campaign), new regula- conversations between clinicians and their patients about tions such as from the Centers for Medicare & Medicaid Ser- what care is necessary. The vices or the Joint Commission that require monitoring and re- campaign sought to do so by ductions in unnecessary medical practices, and/or required Related article page 1913 involving professional soci- external reporting of benchmarks tied to the Choosing Wisely eties in creating lists of un- recommendations. necessary tests and procedures and disseminating the lists to their membership. At the same time, the campaign partnered Implementation Strategies with Consumer Reports to produce consumer-friendly briefs Implementation science has developed as an independent dis- of Choosing Wisely recommendations and to disseminate the cipline largely to address the need to actively facilitate adop- briefs to consumers. It remains an open question whether cli- tion of evidence-based practices within specific contexts. There nicians or consumers http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Changing Clinician Behavior When Less Is More

Gonzales, Ralph; Cattamanchi, Adithya
JAMA Internal Medicine , Volume 175 (12) – Dec 1, 2015
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References (5)

Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2015.5987
pmid
26457364
Publisher site
See Article on Publisher Site

Abstract

Trends in Use of Seven Low-Value Health Care Services Original Investigation Research Invited Commentary LESS IS MORE Ralph Gonzales, MD, MSPH; Adithya Cattamanchi, MD, MAS The American Board of Internal Medicine Foundation from consumers (eg, through continued grassroots efforts from intended for the Choosing Wisely campaign to support consumer groups involved in the campaign), new regula- conversations between clinicians and their patients about tions such as from the Centers for Medicare & Medicaid Ser- what care is necessary. The vices or the Joint Commission that require monitoring and re- campaign sought to do so by ductions in unnecessary medical practices, and/or required Related article page 1913 involving professional soci- external reporting of benchmarks tied to the Choosing Wisely eties in creating lists of un- recommendations. necessary tests and procedures and disseminating the lists to their membership. At the same time, the campaign partnered Implementation Strategies with Consumer Reports to produce consumer-friendly briefs Implementation science has developed as an independent dis- of Choosing Wisely recommendations and to disseminate the cipline largely to address the need to actively facilitate adop- briefs to consumers. It remains an open question whether cli- tion of evidence-based practices within specific contexts. There nicians or consumers

Journal

JAMA Internal Medicine – American Medical Association

Published: Dec 1, 2015

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