{"id":5265,"date":"2020-04-24T15:47:59","date_gmt":"2020-04-24T13:47:59","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/?p=5265"},"modified":"2020-04-24T15:53:38","modified_gmt":"2020-04-24T13:53:38","slug":"de-implementing-wisely-developing-the-evidence-base-to-reduce-low-value-care","status":"publish","type":"post","link":"https:\/\/choosingwiselyitaly.org\/en\/de-implementing-wisely-developing-the-evidence-base-to-reduce-low-value-care\/","title":{"rendered":"De-implementing wisely: developing the evidence base to reduce low-value care"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2020\/04\/Grimshaw-De-implementing-wisely-developing-the-evidence-base-to-reduce-low-value-care-BMJ-QS-2020-1-1024x246.jpg\" alt=\"\" width=\"1024\" height=\"246\" class=\"aligncenter size-large wp-image-5269\" srcset=\"https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2020\/04\/Grimshaw-De-implementing-wisely-developing-the-evidence-base-to-reduce-low-value-care-BMJ-QS-2020-1-980x235.jpg 980w, https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2020\/04\/Grimshaw-De-implementing-wisely-developing-the-evidence-base-to-reduce-low-value-care-BMJ-QS-2020-1-480x115.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><br \/>\nChoosing Wisely (CW) campaigns globally have focused attention on the need to reduce low-value<br \/>\ncare, which can represent up to 30% of the costs of healthcare.<br \/>\nDespite 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.<br \/>\nThis 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.<\/p>\n<p><a href=\"https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2020\/04\/Grimshaw-De-implementing-wisely-developing-the-evidence-base-to-reduce-low-value-care-BMJ-QS-2020.pdf\">Grimshaw De- implementing wisely developing the evidence base to reduce low- value\u00a0care BMJ QS 2020<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":4443,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[3249],"tags":[],"class_list":["post-5265","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-world"],"_links":{"self":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/posts\/5265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/comments?post=5265"}],"version-history":[{"count":0,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/posts\/5265\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media\/4443"}],"wp:attachment":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media?parent=5265"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/categories?post=5265"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/tags?post=5265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}