Slow Medicine and Choosing Wisely: a synergistic alliance
DOI:
https://doi.org/10.17267/2675-021Xevidence.2022.e4222Keywords:
Choosing Wisely, Slow Medicine, Medical overuse, Low-value care, Inappropriate prescribing, DeprescriptionAbstract
Choosing Wisely® is an initiative of the American Board of Internal Medicine Foundation to help physicians and patients engage in conversations about the overuse of tests and procedures and support physician efforts to help patients make smart and effective care choices. Choosing Wisely campaigns are now active and present in 25 countries around the world, on five continents. Italy is the only country where a Choosing Wisely campaign was launched, and it is currently steered by a Nationwide association (Slow Medicine), creating a synergistic alliance. The Slow Medicine Association was founded in 2011 when a group of health professionals and citizens shared a new paradigm of values, methodology, and interventions and decided to establish an association with the mission of working for a health system driven by ethics and quality principles. Three keywords summarize the philosophy of Slow Medicine: measured because it acts with moderation, gradualness, and without waste; respectful because it is attentive to the dignity of individuals recognizing their values; and equitable because it is committed to ensuring appropriate care based on the best available evidence. Slow Medicine allowed the spread of Choosing Wisely in Italy involving several professional societies and participating at the National meetings of the Societies as well as numerous other meetings, in which the mission of the Association is combined with the principle of the ‘do not’ recommendations. Numerous other initiatives were carried out, and new projects were planned in synergy with Choosing Wisely.
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References
Slow Medicine [Internet]. Torino: Slow Medicine. Available from: https://www.slowmedicine.it/
Vernero S, Domenighetti G. Italy’s “Doing more does not mean doing better” campaign. BMJ-Brit Med J. 2014;349(7968):g4703. https://doi.org/10.1136/bmj.g4703
Bonaldi A, Vernero S. Slow medicine: un nuovo paradigma in medicina. Recenti Prog Med. 2015;106(2):85-91. https://doi org/10.1701/1790.19492
Domenighetti G, Vernero S. Looking for waste and inappropriateness: if not now, when? Intern Emerg Med [Internet]. 2014;9(Suppl):S1-S7. Available from: https://www.slowmedicine.it/looking-for-waste-and-inappropriateness-if-not-now-when/
Bobbio M. When doing more means doing harm. Intern Emerg Med. 2014;9 (Suppl): S8–S12.
Bobbio M, Vernero S. Choosing Wisely, the reasons for its success. Monaldi Arch Chest Dis. 2019;89(2):1104-5. https://doi.org/10.4081/monaldi.2019.1104
Bert G, Bobbio M, Bonaldi A, Domenighetti G, Gardini A, Quadrino S, et al. Le parole della medicina che cambia: un dizionario critico. Rome: Il Pensiero Scientifico Editore; 2017.
Bert G, Bobbio M, Bonaldi A, Domenighetti G, Gardini A, Quadrino S, et al. Slow Medicine. Torino: Edizioni Slow Medicine; 2019.
Hello my name is [Internet]. Available from: https://www.hellomynameis.org.uk
Choosing wisely Italy [Internet]. Torino: Slow Medicine. Available from: https://choosingwiselyitaly.org/en/
Cassel CK, Guest JA. Choosing wisely: helping physicians and patients make smart decisions about their care. JAMA. 2012;307(17):1801-2. https://doi.org/10.1001/jama.2012.476
Choosing Wisely [Internet]. Philadelphia: ABIM Foundation. Available from: http://www.choosingwisely.org/
Levinson W, Kallewaard M, Bhatia RS, Wolfson D, Shortt S, Kerr EA. ‘Choosing Wisely’: a growing international campaign. BMJ Qual Saf [Internet]. 2015;24(2):167-74. Available from: https://qualitysafety.bmj.com/content/24/2/167
Born K, Kool T, Levinson W. Reducing overuse in healthcare: advancing Choosing Wisely. BMJ-Brit Med. 2019;367:l6317. https://doi.org/10.1136/bmj.l6317
Grimshaw JM, Patey AM, Kirkham KR, Hall H, Downling SK, Rodondi R, et al. De-implementing wisely: developing the evidence base to reduce low value care. BMJ Qual Saf. 2020;29:409-17. https://doi.org/10.1136/bmjqs-2019-010060
Fattore G, Mariotti G, Rebba V. Review of waiting times policies, Country case studies-Italy. In: Siciliani L, Borowitz M, Moran V, editors. Waiting Times Policies in the Health Sector: What Works? France: OECD Publishing; 2013.
World Health Organization. One Health [Internet]. Geneva: World Health Organization; 2018. Available from: http://www.who.int/features/qa/one-health/en/
Hensher M, Canny B, Zimitat C, Campbell J, Palmer A. Health care, overconsumption, and uneconomic growth: a conceptual framework. Soc. Sci. Med. 2020;266:113420. https://doi.org/10.1016/j.socscimed.2020.113420
Building Trust [Internet]. Philadelphia: ABIM Foundation; 2020. Available from: http://buildingtrust.org
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Copyright (c) 2022 Marco Bobbio, Sandra Vernero, Domenico Colimberti, Andrea Gardini
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The authors retain copyrights, transferring to the Journal of Evidence-Based Healthcare only the right of first publication. This work is licensed under a Creative Commons Attribution 4.0 International License.