Health research policy and systems / BioMed Central
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Health Res Policy Syst · Sep 2018
Physician perspectives on Choosing Wisely Canada as an approach to reduce unnecessary medical care: a qualitative study.
Reducing monies spent on unnecessary medical care is one possible target to improve value in healthcare systems. Regional variation in the provision of medical care suggests physician behaviour and patient demands influence the provision of unnecessary medical care. Recently, Choosing Wisely campaigns began using 'top 5 do-not-do' lists to target unnecessary medical care by encouraging greater physician and patient dialogue at the point of care. The present study aims to examine the rationale for Choosing Wisely Canada's (CWC) design and to analyse physician perceptions regarding the features of CWC aimed to reduce unnecessary medical care. ⋯ This study contributes to our understanding of the perceptions of physicians regarding the CWC campaign. Specifically, physicians believe that CWC does little to address the clinical reasons for unnecessary medical care. Ultimately, because CWC has limited impact on physician behaviour or patient expectations, it is unlikely to have a major influence on unnecessary medical care.