Health professionals

Journal articles

Keep updated with interviews, case studies and news clips from the Choosing Wisely Australia® initiative.

1 Apr 2019 | The Commonwealth Fund

Choosing Wisely: An international movement toward appropriate medical care

A hot dog with too much mustard on it. A washing machine overflowing with soap suds. A suitcase with clothes spilling out of it. These images aren’t what you expect to see when you go to your doctor — but in primary care waiting rooms across Canada, posters with these images hang on the walls. The posters, accompanied with the message “More Is Not Always Better,” are intended to prompt patients to talk to their physicians about what kind of care is right for them.

Behind the eye-catching posters is Choosing Wisely, an international movement that began in the United States and has since spread around the world. It was launched in 2012 by the American Board of Internal Medicine (ABIM) Foundation to advance a national dialogue on how to avoid unnecessary medical tests, treatments, and procedures. Today, more than 20 countries have developed campaigns based on a simple but compelling premise: conversations between doctors and patients can help patients choose care that is based on evidence, truly necessary, not duplicative, and free from harm.

18 Mar 2019 | MJA Insight

Choosing Wisely in Australian hospitals: lessons from the field

Choosing Wisely is an international campaign that encourages conversations about what tests, treatments and procedures are truly necessary. In doing so, it seeks to support a culture shift in how clinicians and consumers think about health care and complements an increasing focus on the delivery of value in health care across Australia.

Choosing Wisely Australia, facilitated by NPS MedicineWise, launched in 2015 and boasts a multidisciplinary membership that includes physicians, GPs, physiotherapists, pharmacists and nurses. The success of Choosing Wisely to date, having spread to 20 countries, has been attributed to six core principles, as well as a focus on professional values and the role of clinicians in resource stewardship, and on improving conversations to reduce unnecessary care.

15 Jun 2018 | BMJ 2018; 361

Helping patients choose wisely

New UK recommendations emphasise shared decision making.

Overdiagnosis and overtreatment are common, harmful to patients, and expensive. Doctors and patients tend to overestimate the benefit and underestimate harm of interventions. Choosing Wisely is a medically led campaign focusing on engaging doctors and patients in decisions about potentially unnecessary medical tests, treatments, and procedures. It started in the US in 2012 and has now been taken up in 22 countries worldwide, including the UK.

Drowning in data: the argument for no unnecessary tests

A defining characteristic that widens the gap between practice and evidence in modern medicine is the meteoric rise of diagnostic testing.

Eastern Health, one of Melbourne's large public Health Services, created No Unnecessary Tests (NUTs), a program requesting that patients only undergo tests that are clinically indicative and not ones that remain un-supported by evidence or deferred to an ambulatory setting. This article explores how Eastern Health identifies the likely hotspots of unnecessary testing, their underlying causes and explains implementation of the adapted interventions to fit them.

19 Apr 2018 | Journal of the American Medical Association, Vol. 208

Choosing Wisely Campaigns A Work in Progress

Choosing Wisely focuses on conversations between physicians and patients, the basis of clinical interactions.

The spread of Choosing Wisely internationally demonstrates how well-received the campaign is; with the aim now being to demonstrate effectiveness in improving outcomes and making a difference on measures of quality and safety pertaining to both clinicians and patients. This viewpoint explores factors that facilitated the spread of the Choosing Wisely campaign and how these enabling factors can address changes in dissemination and implementation.

Stewardship toolkit for clinical educators

The Health Resource Stewardship for Clinical educators contains educational material about the Choosing Wisely initiative for use in universities, hospitals and health professional colleges

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5 Questions

5 questions to ask your doctor or other healthcare provider to make sure you end up with the right amount of care.

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