How Neurologists Can Choose (Even More) Wisely: Prioritizing Waste Reduction Targets and Identifying Gaps in Knowledge

• Autores: Brian C. Callaghan, James F. Burke, Eva L Feldman
• Localización: JAMA: the journal of the American Medical Association, ISSN 0098-7484, Vol. 311, Nº. 16, 2014, págs. 1607-1608
• Idioma: inglés
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• Resumen

  • Health care accounts for a large, and escalating, proportion of the gross domestic product, yet the overall value of many of these expenditures is unclear. The Institute of Medicine estimates that $750 billion could be saved annually by reducing health care inefficiencies, including $210 billion by eliminating unnecessary services.1 A recent attempt to reduce these unnecessary services, the Choosing Wisely campaign aims to stimulate a conversation between physicians and patients about the necessity of tests, procedures, and medications. The initial Choosing Wisely lists, including 1 from the American Academy of Neurology (AAN),2 represent an essential first step in the reduction of waste. Moving forward, physicians can choose even more wisely. To do so requires a framework for the complex task of prioritizing waste reduction targets out of the innumerable combination of tests, procedures, and medications.