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The campaign “Doing more does not mean doing better – CHOOSING WISELY ITALY”

It aims to help physicians, other health professionals, patients and citizens engage in conversations about tests, treatments and procedures at risk of inappropriateness in Italy, to arrive at informed and shared choices.

The campaign is based on the responsibility of physicians and other health professionals and on the participation of patients and citizens

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RECOMMENDATIONS

Tests, treatments and procedures at risk of inappropriateness in Italy that physicians, other health professionals, patients and citizens should talk about.

SOCIETIES

Italian Scientific Societies and Professional Associations that have defined the recommendations

CITIZENS

Section for patients and citizens

YOUTH CWIt

Choosing Wisely Italy for students and physicians in training

NEWS FROM THE WORLD

Choosing Wisely International Roundtable in Oslo

Choosing Wisely International Roundtable in Oslo

At the Choosing Wisely International Roundtable in Oslo on 11 and 12 September 2023, Sandra Vernero from CW Italy and Paolo Francesconi from Regional health agency of Tuscany participated for Italy.

The two main topics were the implementation of the recommendations and the environmental sustainability. In this regard, Sandra Vernero’s presentation “Towards a Green CW Italy” and the Italian “green” recommendations aroused interest.

As regards the implementation of the recommendations, international experiences were discussed and examples can be drawn.

Working groups have been established on Planetary Health and on the implementation of the recommendations of which Italy is part.

The results of two surveys in which Italy participated with the Tuscany region were presented: one on primary care doctors and low clinical level care, coordinated by Finland, and one on overuse in pediatrics by the European Academy of Pediatrics.

It was also decided to produce a 2-monthly newsletter to communicate Choosing Wisely’s activities and publications around the world and to hold an international webinar that will take place 3-4 times a year on Tuesday at 5:30pm CET, duration 1 hour.

A new book titled How to reduce overuse in Healthcare: A Practical Guide was recently published by Choosing Wisely international colleagues and presented in Oslo Roundtable. Edited by Drs. Tijn Kool, Andrea Patey, Simone van Dulmen, and Jeremy Grimshaw, this book provides a 5-step evidence- and theory-based framework for developing an evaluation program to reduce low-value care. How to reduce overuse in Healthcare: A Practical Guide is designed to provide practical guidance and tools for healthcare providers, their professional societies and policy makers developing programs to de-implement low-value or unnecessary care and improve patient.

Website: https://www.wiley.com/en-ca/How+to+Reduce+Overuse+in+Healthcare%3A+A+Practical+Guide-p-9781119862727

Contact: tijn.kool@radboudumc.nl

 

Choosing Wisely International Presents: In Conversation with Dr. Don Berwick

Choosing Wisely International Presents: In Conversation with Dr. Don Berwick

The usual International Roundtable of Choosing Wisely will take place this year in virtual form.
On October 13 at 8 a.m. ET, Choosing Wisely International is hosting a special presentation with Dr. Don Berwick, President Emeritus and Senior Fellow, Institute for Healthcare Improvement. The presentation, Addressing Overuse in the ‘New Normal’, will highlight how health care systems and providers are rapidly learning and changing in response to COVID-19.

We invite you to join a global conversation on sustainability, reducing waste, and improving value that are vital to meeting the complex health needs posed not just by the COVID-19 pandemic, but our rapidly changing society.

 

You can view Dr. Don Berwick’s speech at

this link

until November 12, 2020

 

How Choosing Wisely international list on the COVID-19 pandemic was developed

How Choosing Wisely international list on the COVID-19 pandemic was developed


The article describing the development of the international Choosing Wisely (CW) list on the Covid pandemic has been published in the Journal of Evidence-Based Healthcare – #BahianaJournals. (Brazil):

Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations.

The list reflects international consensus on evidence-based recommendations for both clinicians and the public which were achieved through a rapid consensus building process

An initial list, created by a Canadian working group, was reviewed by a small international and Canadian group. The resulting list was surveyed by a larger number of clinicians and leaders from CW Canada and CW movements from 25 countries.
CW Italy actively participated in both phases.
The description of the development process is important as this is the first Choosing Wisely list defined through an international consensus.

https://www5.bahiana.edu.br/index.php/evidence/issue/view/143/showToc

https://www5.bahiana.edu.br/index.php/evidence/article/view/2898/3129

NEWS FROM ITALY

Choosing Wisely International Roundtable in Oslo

“Choosing Wisely Italy: a tool to improve the appropriateness and quality of care” Distance learning course

From Monday 4 March 2024, the new distance learning course of the National Federation of Medical Doctors’ and Dentists’ Orders (FNOMCeO) “Choosing Wisely Italy: a tool to improve the appropriateness and quality of care” is available free of charge for Italian doctors and dentists and provides 10 credits in Continuing Medical Education (CME code 411717).

It will be possible to follow the course until at least 31 December 2024.

The course was created by the Slow Medicine ETS association and the Choosing Wisely Italy campaign to help physicians provide appropriate prescriptions for tests, drugs, other treatments and procedures, in alliance with patients and citizens.

The objective of the course is the dissemination of knowledge on the topics of clinical appropriateness and the overuse of tests, treatments and procedures, on Choosing Wisely, the Choosing Wisely Italy campaign and its Green evolution, as well as on some recommendations of general medical interest.

Interventions that improve clinical appropriateness act positively on several aspects of the quality of care: they increase professionals’ adherence to the best scientific knowledge (practical effectiveness), they decrease adverse events associated with care (safety), they shorten waiting lists (equity, accessibility) and reduce waste of resources (efficiency). Also they improve the doctor-patient relationship (perceived quality) and last but not least they limit greenhouse gas emissions and the impact on the environment resulting from healthcare (ecological footprint).

The course includes 10 video presentations, 5 exercises on 25 daily practice cases and a CME questionnaire that investigates the knowledge acquired.

Program

Choosing Wisely International Roundtable in Oslo

New recommendations ISDE for a Green General Practitioner

 

After the launch of Green Choosing Wisely (CW) Italy at the June 2022 conference at the IRCCS Mario Negri in Milan in collaboration with ISDE – Doctors for the Environment, ISDE presented 5 recommendations for a Green General Practitioner, developed by the ISDE Young Working Group.

In this list the invitation addressed to General Practitioners is to reduce the ecological footprint of healthcare services:
– reducing unnecessary tests and medications, in the logic of Choosing Wisely
– limiting practices that cause damage to the environment (spray inhalers for asthma and COPD and printed medical prescriptions)
– but also by reducing the demand for healthcare services through the dissemination of correct lifestyle habits and enhancement of health.

 

Choosing Wisely International Roundtable in Oslo

New recommandations for Green Choosing Wisely Italy on Green Endoscopy

AIGO (The Italian Association of Hospital Gastroenterologists and Digestive Endoscopists) after having published a position paper and structured other awareness-raising initiatives on the responsibility of professionals towards climate change, defined within the AIGO GREEN path 5 recommendations for Choosing Wisely Italy on Green Endoscopy

https://choosingwiselyitaly.org/wp-content/uploads/2023/04/Scheda-AIGO-Green-engl.pdf

An article on the subject, signed by Francesco Bortoluzzi and Sandra Vernero, was published by Quotidiano Sanità
Endoscopy Green? Yes you can, here’s how

The five AIGO recommendations on green endoscopy are fully part of the recent initiative of a GREEN CHOOSING WISELY, launched in collaboration with the ISDE association of Doctors for the Environment, which intends to raise awareness among professionals and citizens on the fact that the reduction of unnecessary practices can be an advantage both for people’s health and for the environment. Professional societies are invited to:
– develop recommendations on practices that cause harm to the environment
– describe the environmental consequences of inappropriate practices.

Other scientific societies are defining “green” recommendations for their area of expertise.

 

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