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
Tests, treatments and procedures at risk of inappropriateness in Italy that physicians, other health professionals, patients and citizens should talk about.
Italian Scientific Societies and Professional Associations that have defined the recommendations
NEWS FROM THE WORLD
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
until November 12, 2020
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.
Choosing Wisely (CW) campaigns globally have focused attention on the need to reduce low-value
care, which can represent up to 30% of the costs of healthcare.
Despite early enthusiasm for the CW initiative, few large-scale changes in rates of low-value care have been reported since the launch of these campaigns.
This paper by Jeremy M Grimshaw describes the Choosing Wisely De-Implementation Framework (CWDIF), a novel framework that builds on previous work in the field of implementation science and proposes a comprehensive approach to systematically reduce low-value care in both hospital and community settings and advance the science of de-implementation.
NEWS FROM ITALY
We are happy to announce that the website dedicated to the person and work of Gianfranco Domenighetti was recently created.
Gianfranco Domenighetti, health economist and doctor of social sciences, was born in Lugano on April 13, 1942 and died in Locarno, 75 years old, on November 17, 2017 .
The initiative was promoted, in agreement with the family, by a “group of friends from Dome”, which brings together people who have known and appreciated him in different, mainly professional, contexts.
There are collected materials related to his professional activity as a high state official; but also as a researcher, communicator and university professor in Lausanne, Geneva and Lugano. There is also a synthesis of the passions that he has cultivated for a long time, photography, drawing and painting.
We participated in the creation of the website, in which there are testimonies of the closeness and precious contribution of Gianfranco Domenighetti to Slow Medicine, of which he was co-founder, and to Choosing Wisely Italy, which he promoted and supported since its ideation.
Choosing Wisely Canada launched the STARS movement (Students and Trainees Advocating for Resource Stewardship) in 2015 to introduce the issues of overuse of tests, treatments and procedures as well as responsibility in resource management into medical training.
Referents in every medical school in the country were identified.
Similar movements of students and young doctors were later established in the United States, Japan, New Zeland, Netherlands.
In Italy Choosing Wisely movement of students and physicians in training was launched in the workshop with Prof Wendy Levinson, leader of CW Canada and International, that was held in Milan in 2018 on the occasion of the first National Congress of Choosing Wisely Italy.
A network was established, composed of medical students with SISM, physicians in training with Federspecializzandi and the Giotto Movement of young GPs.
The SISM, Italian Secretariat for Students in Medicine APS, has now developed 5 recommendations on procedures at risk of inappropriateness in Medical Training in Italy.
These topics will have to enter the training curricula of medical students and young doctors also in Italy.
Editorial on Choosing Wisely by Marco Bobbio and Sandra Vernero on Monaldi Archives for Chest Disease 2019.