Improving Use of Medicines and Medical Tests in Primary Care by Lynn Maria Weekes

Author:Lynn Maria Weekes
Language: eng
Format: epub
ISBN: 9789811523335
Publisher: Springer Singapore

Decrease the proportion of low value care practices delivered in health services by reducing unnecessary requesting of tests, treatments and procedures.

Funding allows for a dedicated project manager and clinical time for clinical leads to be allocated to the project. A key deliverable is that health services demonstrate the sustainability of their projects beyond the life of the project funding.

In the USA, the ABIM Foundation, through funding from the Robert Wood Johnson Foundation, has provided grants to support projects designed to increase awareness of both community and health professionals of Choosing Wisely recommendations and support better conversations. Importantly, the Grantees program has sought to engage the key stakeholders in its programs including the delivery agency, consumer groups and local medical societies. Funded activities ranged from educational programs for practising and trainee physicians, development of applications (apps) to support in-clinic decision making through community forums and announcements.

Several countries are supporting implementation through the development of patient and clinician resources and toolkits.Both the USA and Canada provide a comprehensive suite of patient information pamphlets developed to support conversations between clinicians and patients around specific Choosing Wisely recommendations. Other countries may link to existing resources rather than develop new patient materials. In Australia, following significant consultation with consumers and consumer organisations, the campaign has focussed on the 5 Questions (Box 6.2) as a key resource, rather than developing bespoke information sheets for individual recommendations. Further, countries are actively seeking ways to engage consumers in their campaigns through direct engagement in strategy development through to co-design of resources and active engagement in development of recommendations. A toolkit developed by the International Choosing Wisely Community on patient engagement is expected to be released shortly.

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