CHOOSING WISELY INTERNATIONAL

After the launch of the Choosing Wisely campaign by the ABIM Foundation in the United States in April 2012, other similar campaigns have been conducted around the world.

During the International Roundtable on Choosing Wisely in Amsterdam on 11 and 12 June 2014, attended by representatives from the USA, Canada, the Netherlands, Italy, the UK and Wales, Germany, Denmark, Switzerland, Japan, Australia and New Zealand, the Choosing Wisely International movement was established.
The Italian campaign “DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY” is part of the International movement.
The fundamental principles of the International campaign were shared in the Amsterdam meeting.
Subsequent meetings were held annually in London (2015), Rome (2016), Amsterdam (2017), Zurich (2018).

To date, 21 countries have joined the movement, including Canada (which coordinates the organization) Australia, Brazil, Wales, Germany, Japan, England, Israel, Italy, New Zealand, the Netherlands, Switzerland and the United States.

CHOOSING WISELY INTERNATIONAL

After the launch of the Choosing Wisely campaign by the ABIM Foundation in the United States in April 2012, other similar campaigns have been conducted around the world.

During the International Roundtable on Choosing Wisely in Amsterdam on 11 and 12 June 2014, attended by representatives from the USA, Canada, the Netherlands, Italy, the UK and Wales, Germany, Denmark, Switzerland, Japan, Australia and New Zealand, the Choosing Wisely International movement was established.
The Italian campaign “DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY” is part of the International movement.
The fundamental principles of the International campaign were shared in the Amsterdam meeting.
Subsequent meetings were held annually in London (2015), Rome (2016), Amsterdam (2017), Zurich (2018).

To date, 21 countries have joined the movement, including Canada (which coordinates the organization) Australia, Brazil, Wales, Germany, Japan, England, Israel, Italy, New Zealand, the Netherlands, Switzerland and the United States.

The International movement is structured as a network of independent organisations, within which experiences, strategies, methodological indications and information material are shared, in support of the various national campaigns referring to the principles of Choosing Wisely.
To this regard, despite the different cultural and social contexts in which they develop, the national campaigns explicitly share the following core principles:

  • PHYSICIAN LED. The campaign must be physician led (as opposed to payer/ government led). This is important to building and sustaining the trust of clinicians and patients, It emphasizes that campaigns are focused on quality of care and harm reduction, rather than cost reduction;
  • PATIENT FOCUSED. The campaign must be patient focused and involve efforts to engage patients in the development and implementation process. Communication between clinicians and patients is central to Choosing Wisely;
  • MULTI-PROFESSIONAL. Where possible, the campaign should include physicians, nurses, pharmacists and other health care professionals;
  • EVIDENCE-BASED. The recommendations issued by the campaign must be evidence based, and must be reviewed on an ongoing basis to ensure credibility;
  • TRANSPARENT. Processes used to create the recommendations must be public and any conflicts of interest must be declared.

These principles are found in the document Starter kit for your Choosing Wisely Campaign.

A representative of the OECD also attends the International meetings with the aim of developing a system of indicators for assessing the impact of the campaigns undertaken by the various countries.
Numerous recommendations have been published by the Choosing Wisely campaigns of the different countries. The main goals of the International movement are now:

  • the implementation of the recommendations,
  • the measurement and evaluation of their impact
  • the involvement of patients and citizens in their definition and implementation.

The International collaboration is coordinated by Choosing Wisely Canada

The main national campaigns, in addition to Choosing Wisely USA
and the Italian one, are represented by:

What are the reasons for the rapid growth of the movement worldwide? According to Drs. Wendy Levinson, leader of Choosing Wisely Canada and International, it is because the campaigns are conducted by clinicians, with the aim of improving the quality and safety of care.

MAIN PAPERS

December 2014

‘Choosing Wisely’: a growing international campaign

Article published in the British Medical Journal about Choosing Wisely programs in 12 countries

June 2017

Engaging patients and the public in Choosing Wisely

Article published in the British Medical Journal on the involvement of patients and citizens

April 2018

Choosing Wisely Campaigns A Work in Progress

Article published in JAMA magazine about Choosing Wisely campaigns

July 2019

Choosing Wisely – An International Movement Toward Appropriate Medical Care

Article on the international movement Choosing Wisely (Shanoor Seervai. Choosing Wisely – An International Movement Toward Appropriate Medical Care), with the characteristics and development in the various countries of the world.

June 2015

Measuring the effect of Choosing Wisely: an integrated framework to assess campaign impact on low-value care

Article published in the British Medical Journal on the possibilities to assess the impact of Choosing Wisely campaigns

December 2018

Choosing Wisely campaigns globally: A shared approach to tackling the problem of overuse in healthcare

Article by Karen Born and Wendy Levinson on the development of Choosing Wisely in the world and the top 10 shared recommendations

May 2019

Choosing Wisely International Publications and Reports

Articles published in Choosing Wisely from 2015 to 2018