The American Geriatrics Society, New York, NY 10038, USA.
J Am Geriatr Soc. 2013 Apr;61(4):622-31. doi: 10.1111/jgs.12226. Epub 2013 Mar 7.
Given the American Geriatrics Society's (AGS) commitment to improving health care for older adults by, among other means, educating older people and their caregivers about their health and healthcare choices, the AGS was delighted when, in late 2011, the American Board of Internal Medicine Foundation invited the Society to join its "Choosing Wisely(®) " campaign. Choosing Wisely is designed to engage patients, healthcare professionals, and family caregivers in discussions about the safety and appropriateness of medical tests, medications, and procedures. Ideally, these discussions should examine whether the tests and procedures are evidence-based, whether any risks they pose might overshadow their potential benefits, whether they are redundant, and whether they are truly necessary. In addition to improving the quality of care, the initiative aims to rein in unneeded healthcare spending. According to a 2008 Congressional Budget Office report, as much as 30% of healthcare spending in the United States may be unnecessary.
鉴于美国老年医学会(AGS)致力于通过教育老年人及其护理人员了解他们的健康和医疗保健选择等方式改善老年人的医疗保健,AGS 非常高兴的是,在 2011 年底,美国内科医师学院基金会邀请该学会加入其“明智选择(Choosing Wisely(®) )”运动。明智选择旨在让患者、医疗保健专业人员和家庭护理人员就医疗测试、药物和程序的安全性和适当性展开讨论。理想情况下,这些讨论应检查这些测试和程序是否基于证据,它们带来的任何风险是否可能超过其潜在益处,它们是否多余,以及它们是否真的必要。除了提高护理质量外,该倡议还旨在控制不必要的医疗保健支出。根据 2008 年国会预算办公室的一份报告,美国高达 30%的医疗保健支出可能是不必要的。