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Choosing Wisely in a time of resource constraints
The BMJ ( IF 105.7 ) Pub Date : 2024-04-12 , DOI: 10.1136/bmj.q166
Karen B. Born , Wendy Levinson , C S Pramesh , Eve A. Kerr

Healthcare systems globally are facing multiple intersecting and overlapping crises including unprecedented resource constraints and a burnt out, demoralised workforce.1 Clinicians are being asked to do more with less in the face of backlogs in access to services alongside rising health inequalities and increases in patient complexity. Evidence based ways to curb wasteful spending and encourage sustainability are important as healthcare systems grapple with ongoing crises, brace for new eventualities, and aim to become more resilient. There is increased urgency, now more than ever before, to avoid waste in healthcare by eliminating overuse in healthcare. Choosing Wisely campaigns, now in over 30 countries globally, offer an approach to reducing overuse and waste based on clinician developed evidence based recommendations. As part of the Choosing Wisely campaign in each country, national clinician specialty societies develop recommendations about overused or unnecessary tests, treatments, and procedures. Campaign efforts have been led by grassroots groups or organisations with a great deal of …

中文翻译:

在资源有限的时期做出明智的选择

全球医疗保健系统正面临多重交叉和重叠的危机,包括前所未有的资源限制和精疲力竭、士气低落的劳动力。1面对服务积压、健康不平等加剧和患者复杂性增加,临床医生被要求以更少的资源做更多的事情。随着医疗保健系统努力应对持续的危机、应对新的突发事件并致力于增强弹性,以证据为基础的方法来遏制浪费支出并鼓励可持续性非常重要。现在比以往任何时候都更加紧迫地需要通过消除医疗保健中的过度使用来避免医疗保健中的浪费。 Choose Wisely 活动现已在全球 30 多个国家开展,根据临床医生制定的基于证据的建议,提供了一种减少过度使用和浪费的方法。作为每个国家明智选择运动的一部分,国家临床医生专业协会制定了有关过度使用或不必要的测试、治疗和程序的建议。运动工作是由草根团体或组织领导的,有大量……
更新日期:2024-04-12
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