In the first of a series of summaries from our Choosing Wisely Implementation Symposium, let’s read about Professor Levinson’s keynote presentations……….
Professor Wendy Levinson , Professor of Medicine at Toronto University gave two excellent addresses at the first symposium for Choosing Wisely held in NZ on 30th March 2017. She shared her experiences of implementing Choosing Wisely in Canada, after adapting this from the American Choosing Wisely Campaign. Twenty countries are active in promoting Choosing Wisely , and this number is growing by the day.
Prof Levinson has reviewed work showing that overuse, waste and harm in the Healthcare delivery sector is a far larger and far more common problem than most realise. Publicity around healthcare delivery gives the impression that under-performance and under-delivery are the core issue in health these days. But actually in America, Canada and most other health systems up to 30% health care delivered adds no further value.
There-in lies massive potential for reductions in over-investigation and overtreatment of patients. In her address, Prof Levinson identified some of the key elements to reducing non-value adding investigation and treatment. These included increasing patient education (especially regarding the potential harm of false positive results, and real risk of complications associated with unnecessary investigations), increasing patients’ participation and enquiry within interactions with healthcare providers, engaging medical students, and using humour as a powerful tool.
You can find all the presentations from our symposium here
Choosing Wisely promotes the four questions all patients should ask their health professional to help them Choose Wisely:
Canadian expert Dr Mike Evans explains why not all testing brings benefits – and the questions every patient should ask. Annual physical checks do not necessarily apply in New Zealand – do discuss what screening tests are right for you with your health professional.
Choosing Wisely New Zealand is health professional led, patient focussed, and here to promote quality care, through better decisions. It is multi professional – engaging doctors, nurses, pharmacists, midwives and other health professional groups – as part of an international community of Choosing Wisely initiatives taking place around the world
Choosing Wisely is a global initiative that has been implemented in a number of countries, including USA, Canada, the UK, Australia and some of Europe.
The campaign aims to promote a culture where low value and inappropriate clinical interventions are avoided, and patients and health professionals have well-informed conversations around their treatment options, leading to better decisions and outcomes.