title: "Choosing wisely" in an academic department of medicine.
abstract: The "Choosing Wisely" campaign seeks to reduce unnecessary care in the United States through self-published recommendations by professional societies. The research team sought to identify factors related to low-value care in the Department of Medicine at the University of California San Francisco, using a subset of clinical scenarios published by the American College of Physicians. The team further explored respondents' values on cost consciousness. A notable minority disagreed with the identified low-value tests. In 6 of 8 scenarios, faculty were more likely to rate the scenarios as representing low-value testing (P < .05). Level of training was the only predictor of attitudes toward unnecessary care after linear regression analysis (coefficient 3.14, P < .001). Increased postgraduate education about cost of care is recommended.
authors: University of California San Francisco, CA jonas.hines@ucsf.edu.
authors: Jonas Z
authors: JZ
authors: Hines
authors: University of California San Francisco, CA.
authors: Justin L
authors: JL
authors: Sewell
authors: University of California San Francisco, CA.
authors: Niraj L
authors: NL
authors: Sehgal
authors: University of California San Francisco, CA.
authors: Christopher
authors: C
authors: Moriates
authors: University of California San Francisco, CA.
authors: Claire K
authors: CK
authors: Horton
authors: University of California San Francisco, CA.
authors: Alice Hm
authors: AH
authors: Chen
mesh_terms: D001291:Attitude of Health Personnel; D005180:Faculty, Medical / Q000523:psychology*; D017721:Hospital Costs; D006801:Humans; D007396:Internship and Residency; D000069342:Medical Overuse / Q000517:prevention & control*; D010818:Practice Patterns, Physicians'; D014481:United States
keywords: academic medicine; cost consciousness; cost control; low-value care; medical expenditures