Related Experiment Video
Updated: Feb 17, 2026
08:24
The Joint Effect of Social Comparison and Social Distance on Evaluation of Intertemporal Choice Outcomes in Event-related Potential Studies
Published on: August 25, 2023
1.2K
[Appropriateness and surroundings: "Doing more does not mean doing better". Choosing Wisely, an unfulfilled
Fulvio Camerini1, Enrico Fabris1, Gianfranco Sinagra1
1Dipartimento Cardiovascolare, Azienda Sanitaria Universitaria Integrata, Università degli Studi di Trieste, Trieste.
Giornale Italiano Di Cardiologia (2006)
|December 1, 2017
Summary
Medical communities are increasingly focused on appropriate use of diagnostic and therapeutic procedures to avoid waste and harm. Initiatives like "Choosing Wisely" promote evidence-based care, but require better evaluation and broader implementation for maximum impact.
Area of Science:
- Healthcare Management
- Medical Ethics
- Health Economics
Background:
- Growing attention to the appropriateness of medical procedures.
- Recognition of clinical, economic, and ethical implications of inappropriate care.
- Need to avoid unnecessary and potentially harmful tests and therapies.
Purpose of the Study:
- To highlight the complexity and variability of medical inappropriateness.
- To discuss the limitations of imposed rules in reducing unnecessary procedures.
- To introduce and evaluate the "Choosing Wisely" campaign's role in promoting appropriate care.
Main Methods:
- Review of existing literature and initiatives aimed at reducing medical waste.
- Analysis of the
- Choosing Wisely
- campaign and its impact.
- Discussion of challenges in evaluating the effectiveness of appropriateness initiatives.
Main Results:
- Imposed rules for reducing unnecessary procedures show dubious effectiveness.
- "Choosing Wisely" campaign promotes evidence-based recommendations and patient dialogue.
- Lack of rigorous evaluation methods hinders assessment of initiative outcomes.
Conclusions:
- The medical community requires deeper understanding and commitment to reduce resource waste.
- Unnecessary interventions divert resources from essential or beneficial treatments.
- Further development of systematic evaluation methods and widespread interventions are needed for successful implementation of appropriateness initiatives.
Related Concept Videos
02:45Self-Discrepancy Theory
19.0K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
19.0K
01:20Decision Making
1.0K
Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Automatic decision-making is fast, intuitive, and relies on gut feelings...
1.0K
01:37Reason and Intuition
7.6K
The human brain processes information for decision-making using one of two routes: an intuitive system and a rational system (Epstein, 1994; popularized by Kahneman, 2011 as System 1 and System 2, respectively). The intuitive system is quick, impulsive, and operates with minimal effort, relying on emotions or habits to provide cues for what to do next, while the rational system is logical, analytical, deliberate, and methodical. Research in neuropsychology suggests that the...
7.6K
01:30Ethical Dilemmas II
2.5K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.5K
01:37Social Loafing
39.8K
Another way in which a group presence can affect performance is social loafing—the exertion of less effort by a person working together with a group. Social loafing occurs when our individual performance cannot be evaluated separately from the group. Thus, group performance declines on easy tasks (Karau & Williams, 1993). Essentially individual group members loaf and let other group members pick up the slack. Because each individual’s efforts cannot be evaluated,...
39.8K
01:14Decision Making: Traditional Method
5.6K
The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
5.6K