Mr. Wolfson is executive vice president and chief operating officer, American Board of Internal Medicine (ABIM) Foundation, Philadelphia, Pennsylvania. Dr. Santa is medical director, Consumer Reports Health, Yonkers, New York. Ms. Slass is senior vice president of communications, ABIM and ABIM Foundation, Philadelphia, Pennsylvania.
Acad Med. 2014 Jul;89(7):990-5. doi: 10.1097/ACM.0000000000000270.
Wise management of health care resources is a core tenet of medical professionalism. To support physicians in fulfilling this responsibility and to engage patients in discussions about unnecessary care, tests, and procedures, in April 2012 the American Board of Internal Medicine Foundation, Consumer Reports, and nine medical specialty societies launched the Choosing Wisely campaign. The authors describe the rationale for and history of the campaign, its structure and approach in terms of engaging both physicians and patients, lessons learned, and future steps.In developing the Choosing Wisely campaign, the specialty societies each developed lists of five tests and procedures that physicians and patients should question. Over 50 specialty societies have developed more than 250 evidence-based recommendations, some of which Consumer Reports has "translated" into consumer-friendly language and helped disseminate to tens of millions of consumers. A number of delivery systems, specialty societies, state medical societies, and regional health collaboratives are also advancing the campaign's recommendations. The campaign's success lies in its unique focus on professional values and patient-physician conversations to reduce unnecessary care. Measurement and evaluation of the campaign's impact on attitudinal and behavioral change is needed.
明智地管理医疗保健资源是医学专业精神的核心原则。为了支持医生履行这一责任，并让患者参与有关不必要的护理、检查和程序的讨论，美国内科医师学院基金会、消费者报告和九个医学专业协会于 2012 年 4 月发起了明智选择运动。作者描述了该运动的基本原理和历史、其在使医生和患者参与方面的结构和方法、所吸取的经验教训以及未来的步骤。在制定明智选择运动的过程中，各专业协会都制定了医生和患者应该质疑的五项检查和程序的清单。超过 50 个专业协会制定了 250 多项基于证据的建议，其中一些建议已被《消费者报告》“翻译”成通俗易懂的语言，并帮助向数千万消费者传播。一些提供系统、专业协会、州医学协会和区域卫生合作组织也在推进该运动的建议。该运动的成功在于其独特的关注重点是专业价值观和医患对话，以减少不必要的护理。需要对该运动对态度和行为改变的影响进行衡量和评估。
