Born K B, Leis J A, Gold W L, Levinson W
Choosing Wisely Canada, University of Toronto, Toronto, ON.
Division of Infectious Diseases and Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, ON.
Can Commun Dis Rep. 2015 Jun 18;41(Suppl 4):9-13. doi: 10.14745/ccdr.v41is4a03.
There is a growing movement in medicine which recognizes that some tests, treatments or procedures do not add value for patients, and may even cause harm. The "Choosing Wisely Canada" campaign is a grassroots, physician-led campaign to engage physicians and patients in conversations about overuse of unnecessary tests, treatments and procedures to improve the quality of health care. This article reviews the underlying principles of this campaign and its spread across Canada. It also highlights the alignment between the principles of Choosing Wisely Canada with those of antimicrobial stewardship, which share similar motivations, challenges and opportunities.
医学领域正兴起一场运动，该运动认识到某些检查、治疗或程序对患者并无益处，甚至可能造成伤害。“明智选择加拿大”运动是一项由基层发起、医生主导的活动，旨在促使医生和患者就过度使用不必要的检查、治疗和程序展开对话，以提高医疗保健质量。本文回顾了该运动的基本原则及其在加拿大的推广情况。它还强调了“明智选择加拿大”的原则与抗菌药物管理原则之间的一致性，二者有着相似的动机、挑战和机遇。
