Choosing Wisely is now spreading worldwide. With the funding support of the Commonwealth Fund and Canadian Institutes of Health Research, our team organized the second international meeting of countries. Held in London, England in June, this meeting brought together 18 countries: Australia, Austria, Brazil, Canada, Denmark, England, France, Germany, India, Israel, Italy, Japan, Netherlands, New Zealand, South Korea, Switzerland, US, Wales. Some countries, like the United States and Canada have mature Choosing Wisely campaigns, while Australia and the UK only launched within the past few months.
This meeting built on the success of the initial international meeting in June 2014 in Amsterdam, where 12 countries were represented (Australia, Canada, Denmark, England, Germany, Italy, Japan, Netherlands, New Zealand, Switzerland, US, Wales).
The London meeting focused on sharing the collective progress across, strategies and challenges to implementation and evaluation approaches.
The two international meetings have fostered collaboration on shared research questions and priorities, and have resulted in publications on foundational frameworks to guide countries in launching campaigns, as well as measuring their effects (Levinson et al., ‘Choosing Wisely’: a growing international campaign, BMJ Qual Saf 2015; Bhatia et al., Measuring the effect of Choosing Wisely: an integrated framework to assess campaign impact on low-value care, BMJ Qual Saf 2015).
The 2016 Choosing Wisely international meeting will be taking place in Rome. We are excited to see what countries are onboard by then and what everyone is up to. In the meantime, here are some highlights of what’s going on around the world:
Choosing Wisely Australia
Facilitated by NPS MedicineWise, Choosing Wisely Australia launched earlier this Spring on April 28th. With an energetic social media presence and well-structured website, Choosing Wisely Australia is “helping people talk about unnecessary medical tests, treatments and procedures”. Societies that have launched to date are the Australasian College for Emergency Medicine, the Australasian Society of Clinical Immunology and Allergy, The Royal Australian College of General Practitioners, The Royal Australian and New Zealand College of Radiologists and The Royal College of Pathologists of Australasia. The next phase of the campaign involves engaging ophthalmologists, nurses, intensive care specialists, pharmacists and physiotherapists.
Choosing Wisely UK
The host of the 2015 International Roundtable on Choosing Wisely, the Academy of Medical Royal Colleges (AoMRC), launched their Choosing Wisely UK campaign in late April of this year. With the establishment of a steering committee headed by Dr. Angeliki Zarkali, a clinical fellow of the AoMRC, Choosing Wisely UK sets out to disrupt the “more is better” culture where there is pressure for doctors to “do something” at each consultation resulting in low-value care. Next steps for the campaign include developing “Top Five” lists for societies, patient engagement, as well as audit & feedback.
India – Society for Less Investigative Medicine (SLIM)
In 2014, cardiologists belonging to the All India Institute of Medical Sciences (AIIMS) began congregating about the health care environment in India, noticing a need to examine the inappropriate use of the of tests, treatments and procedures using limited and precious resources. Now, building momentum across India, SLIM is accessing what is possible and appropriate in an Indian medical context.