title: Measuring the effect of Choosing Wisely: an integrated framework to assess campaign impact on low-value care.
abstract: The Choosing Wisely campaign began in the USA in 2012 to encourage physicians and patients to discuss inappropriate and potentially harmful tests, treatments and procedures. Since its inception, the campaign has grown substantially and has been adopted by 12 countries around the world. Of great interest to countries implementing the campaign, is the effectiveness of Choosing Wisely to reduce overutilisation. This article presents an integrated measurement framework that may be used to assess the impact of a Choosing Wisely campaign on physician and provider awareness and attitudes on low-value care, provider practice behaviour and overuse of low-value services.
authors.affiliation: Department of Medicine, University of Toronto, Toronto, Canada Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, Canada.
authors.forename: R Sacha
authors.initials: RS
authors.lastname: Bhatia
authors.affiliation: Department of Medicine, University of Toronto, Toronto, Canada.
authors.forename: Wendy
authors.initials: W
authors.lastname: Levinson
authors.affiliation: Health Policy Consultant, Ottawa, Canada.
authors.forename: Samuel
authors.initials: S
authors.lastname: Shortt
authors.affiliation: Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, Canada.
authors.forename: Ciara
authors.initials: C
authors.lastname: Pendrith
authors.affiliation: Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, Canada.
authors.forename: Elana
authors.initials: E
authors.lastname: Fric-Shamji
authors.affiliation: Dutch Association of Medical Specialists, Utrecht, The Netherlands.
authors.forename: Marjon
authors.initials: M
authors.lastname: Kallewaard
authors.affiliation: Department of Neurosurgery, Leiden University Medical Centre, Leiden, The Netherlands.
authors.forename: Wilco
authors.initials: W
authors.lastname: Peul
authors.affiliation: Canadian Institute for Health Information, Toronto, Canada.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Veillard
authors.affiliation: Menzies Centre for Health Policy, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Adam
authors.initials: A
authors.lastname: Elshaug
authors.affiliation: OECD, London, UK.
authors.forename: Ian
authors.initials: I
authors.lastname: Forde
authors.affiliation: VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, and Department of Internal Medicine and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, USA.
authors.forename: Eve A
authors.initials: EA
authors.lastname: Kerr
mesh_terms: D003657:Decision Making; D003695:Delivery of Health Care / Q000592:standards; D014943:Global Health; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D000069342:Medical Overuse / Q000517:prevention & control*; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D014481:United States
keywords: Patient-centred care; Quality improvement; Quality measurement