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[Choosing wisely together with the patient].
1Klinik für Innere Medizin 1, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 12, 24105, Kiel, Deutschland. urfoelsch@1med.uni-kiel.de.
Der Internist
|June 4, 2016
Summary
German internal medicine societies identified unnecessary or underused tests and procedures. These evidence-based recommendations aim to improve doctor-patient dialogue and decision-making in clinical practice.
Area of Science:
- Internal Medicine
- Clinical Practice Guidelines
- Evidence-Based Medicine
Background:
- The Choosing Wisely initiative promotes reducing unnecessary medical tests and procedures.
- Internal medicine societies are key stakeholders in optimizing clinical practice.
Purpose of the Study:
- To identify and substantiate unnecessary or underused medical tests and procedures within internal medicine.
- To support evidence-based doctor-patient dialogue.
Main Methods:
- 12 scientific societies associated with internal medicine were surveyed.
- Each society provided 2 evidence-based recommendations from a list of 60 examples.
- Recommendations focused on immediate relevance to doctor-patient interactions.
Main Results:
- A comprehensive set of recommendations covering diverse areas of internal medicine was compiled.
- The recommendations address both unnecessary and underused diagnostic or therapeutic interventions.
- The output provides a spectrum of important clinical guidance.
Conclusions:
- The developed recommendations offer valuable support for clinical decision-making.
- These guidelines facilitate evidence-based discussions between doctors and patients.
- The initiative aims to enhance the quality and efficiency of internal medicine care.
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