title: Beyond the "Choosing wisely": a possible attempt.
abstract: Since the fundamental principles of the medical profession were clearly defined in a physician charter in 2002, special considerations have been expressed about the adequate distribution of health care resources taking in account the individual patient needs to optimize the health care service. The correct application of procedures represents a key point in order to reach the appropriateness of care, that means to avoid unnecessary or inappropriate procedures as well as the underutilization of the necessary procedures. In this context, the Choosing wisely campaign have been widely used and disclosed and even the Italian Society of Pediatric Allergology and Immunology - SIAIP has been working to make recommendations in order to ensure the appropriateness of care in the field of allergy and optimize the use of health care resources.
authors.affiliation: Pediatric Unit, San Giuseppe Hospital, Empoli, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Bernardini
authors.affiliation: Department of Medical and Surgical Sciences, Pediatric Unit, University of Bologna, S.Orsola-Malpighi Hospital, Pad 16, via Massarenti 11, 40138, Bologna, Italy. giampaolo.ricci@unibo.it.
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Ricci
authors.affiliation: Department of Medical and Surgical Sciences, Pediatric Unit, University of Bologna, S.Orsola-Malpighi Hospital, Pad 16, via Massarenti 11, 40138, Bologna, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Cipriani
authors.affiliation: Pediatric Unit, Usl Sud Est Toscana, Montepulciano, Siena, Italy.
authors.forename: Flavio
authors.initials: F
authors.lastname: Civitelli
authors.affiliation: Department of Pediatrics and Child Neuropsychiatry, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
authors.forename: Luciana
authors.initials: L
authors.lastname: Indinnimeo
authors.affiliation: Pediatric Unit, Hospital of Polistena, Reggio Calabria, Italy.
authors.forename: Domenico
authors.initials: D
authors.lastname: Minasi
authors.affiliation: Pediatric Primary Care, National Pediatric Health Care System, Milan, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Terracciano
authors.affiliation: Department of Pediatrics and Child Neuropsychiatry, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
authors.forename: Marzia
authors.initials: M
authors.lastname: Duse
mesh_terms: D001291:Attitude of Health Personnel; D003695:Delivery of Health Care / Q000458:organization & administration*; D006295:Health Resources / Q000458:organization & administration*; D006300:Health Services Misuse / Q000517:prevention & control*; D006801:Humans; D006967:Hypersensitivity / Q000175:diagnosis / Q000628:therapy*; D007558:Italy; D010372:Pediatrics; D058996:Quality Improvement; D012955:Societies, Medical / Q000458:organization & administration*; D019564:Unnecessary Procedures / Q000191:economics / Q000706:statistics & numerical data
keywords: Allergy; Appropriateness; Certification; Choosing wisely; Health care resources; Procedures