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Updated: Dec 12, 2025

Practical Methodology of Cognitive Tasks Within a Navigational Assessment

Practical Methodology of Cognitive Tasks Within a Navigational Assessment

Published on: June 1, 2015

A top 5 list for French general practice.

Agnès Hazard¹, Lucie Fournier², Louise Rossignol²

¹Department of Family Medicine, Faculty of Health Sciences Simone Veil, University Versailles-Saint-Quentin-en-Yvelines, Villejuif, Paris, France. agneshazard@hotmail.com.

BMC Family Practice

|August 11, 2020

Summary

French general practitioners identified five frequently prescribed treatments with negative risk-benefit profiles, aiming to reduce medical overuse and improve patient-physician dialogue. This "Choosing Wisely" initiative targets common prescriptions like antibiotics and statins.

Keywords:

Delphi method France General practice Medical overuse

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Area of Science:

General Practice
Health Services Research
Medical Overuse

Background:

Medical overuse is a growing concern globally.
The "Choosing Wisely" campaign encourages specialties to identify low-benefit interventions.
This study focuses on developing a similar list for French general practice.

Purpose of the Study:

To create a "top five" list of frequently prescribed medical interventions with a negative benefit-risk balance in French general practice.
To promote dialogue between patients and physicians regarding unnecessary medical care.
To reflect the specific medical culture of France.

Main Methods:

A panel of 40 general practitioners (GPs) proposed interventions for reduced prescription.
The Delphi method was used to refine the initial suggestions into a shortlist.
Systematic literature reviews informed the panel's final selection process.

Main Results:

The study identified five key areas for reduced prescribing in French general practice.
These include antibiotics for acute respiratory infections, routine prostate-specific antigen (PSA) testing in men over 50, certain dementia medications (cholinesterase inhibitors, memantine), statins for primary cardiovascular prevention in older adults, and benzodiazepines for anxiety and insomnia in older patients.
All selected interventions were found to have a negative risk-benefit balance.

Conclusions:

A French "top five" list for general practice was successfully developed.
The identified interventions are commonly prescribed by French GPs and carry a negative risk-benefit ratio.
The resulting list is distinct from other national general practice lists, highlighting French medical culture.