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Choosing Wisely? Let's Start with Working Wisely.

Paul Kurdyak1, Lesley Wiesenfeld2, Sanjeev Sockalingam3

  • 1Department of Psychiatry, University of Toronto, Toronto, Ontario paul.kurdyak@camh.ca.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|September 2, 2016
PubMed
Summary
This summary is machine-generated.

Improving access to mental health care is crucial for the Choosing Wisely initiative. The paper suggests working wisely by addressing system inefficiencies to ensure patients can access care and make informed health decisions.

Keywords:
Choosing Wiselyaccess to careevidence-based medicinehealth service delivery

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Area of Science:

  • Health Services Research
  • Mental Health Policy
  • Healthcare Management

Background:

  • Growing emphasis on healthcare quality and cost-effectiveness.
  • The Choosing Wisely initiative promotes efficient resource utilization.
  • Access to specialty mental health care, particularly psychiatrists, is often inadequate.

Purpose of the Study:

  • To highlight the need for "working wisely" in mental health care.
  • To identify key issues hindering access to mental health services.
  • To propose strategies for developing an accessible and efficient mental health system.

Main Methods:

  • Analysis of existing evidence on mental health care access.
  • Identification of systemic barriers within the mental health care delivery.
  • Proposal of key issues for consideration in system improvement.

Main Results:

  • Poor access to specialty mental health care is a significant issue.
  • Systemic inefficiencies prevent patients from accessing care to "choose wisely."

Conclusions:

  • Psychiatrists and the mental health system must adopt "working wisely" principles.
  • Implementing wait time standards and objective need assessments in referral systems is vital.
  • Incorporating performance indicators and continuous monitoring can improve mental health care access and quality.