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Related Experiment Videos

["Choosing Wisely" Improves Shared Decision Making].

Kyoko Kitazawa1

  • 1Kyoto Pharmaceutical University.

Yakugaku Zasshi : Journal of the Pharmaceutical Society of Japan
|April 2, 2019
PubMed
Summary
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The "Choosing Wisely" campaign highlights risks of unproven medical tests and treatments. Promoting patient-provider dialogue through key questions can improve drug prescribing, ensuring benefits outweigh potential harm.

Area of Science:

  • Health Policy
  • Patient Safety
  • Pharmacology

Background:

  • The

Purpose of the Study:

  • To highlight the risks associated with medical interventions lacking robust scientific evidence.
  • To emphasize the role of stakeholder engagement in treatment decision-making.
  • To promote patient-centered communication for appropriate drug prescription.

Main Methods:

  • Review of the "Choosing Wisely" campaign principles.
  • Consideration of the American Society of Health-System Pharmacists' recommendations on polypharmacy.
  • Analysis of stakeholder influence on treatment decisions.
  • Evaluation of patient-centric communication tools like the "five questions" approach.
Keywords:
Choosing Wiselypolypharmacyshared decision making

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Main Results:

  • Unscientific medical tests, drugs, and procedures pose risks to patients.
  • Polypharmacy presents a significant challenge addressed by professional recommendations.
  • Multiple stakeholders influence treatment decisions, necessitating a coordinated approach.
  • Patient-initiated dialogue can foster appropriate prescribing where benefits exceed harm.

Conclusions:

  • The "Choosing Wisely" campaign is crucial for patient safety by questioning unnecessary medical interventions.
  • Effective communication strategies, including empowering patients with questions, are vital for appropriate polypharmacy management.
  • A collaborative effort among patients, healthcare professionals, and other stakeholders is essential for optimizing drug therapy and minimizing patient harm.