[Toward a "Choosing Wisely" Future in Medicine].

Area of Science:

• Health services research
• Medical ethics
• Health economics

Background:

• The Choosing Wisely campaign encourages dialogue between patients and physicians regarding potentially unnecessary medical interventions.
• Specialty societies publish "Top Five Lists" of evidence-based recommendations within their fields.
• Choosing Wisely Japan launched in 2016 and gained rapid adoption among primary care physicians.

Purpose of the Study:

• To disseminate and implement evidence-based recommendations for reducing unnecessary medical care.
• To promote informed prescription decisions by balancing medication efficacy, risks, and costs.
• To foster interprofessional and interdisciplinary collaboration for effective implementation.

Main Methods:

• Analysis of the Choosing Wisely campaign's structure and dissemination in Japan.
• Review of "Top Five Lists" and their alignment with evidence-based practices.
• Exploration of strategies for implementing recommendations into clinical practice.

Main Results:

• The campaign has achieved widespread recognition, particularly among primary care physicians in Japan.
• Recommendations focus on optimizing the balance between medical intervention benefits and potential harms or costs.
• Successful implementation requires consideration of collaborative, multi-professional approaches.

Conclusions:

• The Choosing Wisely campaign serves as a vital tool for promoting evidence-based medical practices and reducing healthcare waste.
• Effective implementation necessitates a shift towards interprofessional collaboration and consideration of economic factors in clinical decision-making.
• Further research into interdisciplinary strategies can enhance the campaign's impact on healthcare resource stewardship.