Why the study?
Does the Choosing Wisely campaign reduce the utilization of low-value medical services?
Does the Choosing Wisely campaign reduce the utilization of low-value medical services?
The Choosing Wisely campaign resulted in only modest decreases in low-value services, suggesting additional interventions are needed for wider implementation.
Modest reductions in only 2 of 7 services suggest limited campaign impact; leaves open whether stronger interventions can achieve broader de-implementation.
For this population-level analysis of 7 low-value services analyzed, changes were modest but showed a desirable decrease for 2 recommendations (imaging for headache, cardiac imaging for low-risk patients). The effect sizes were marginal, however, and although 4 of the 7 lists had statistically significant changes-unsurprising given the large sample size-the clinical significance is uncertain. These results suggest that additional interventions are necessary for wider implementation of Choosing Wisely recommendations.
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Rosenberg et al. (2015) studied this question.
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