Choosing Wisely continues to expand internationally.
At the 2019 Choosing Wisely International Roundtable, which was held in Berlin on November 5 and 6, representatives from two dozen countries gathered to discuss shared lessons, successes and topics that need more research.
New attendees included representatives from India, South Africa, Finland and Iceland. Choosing Wisely now has campaigns or planned campaigns on six of the seven continents, bringing the number of participating countries to 24.
The ABIM Foundation presented its recent work with focus groups of low-income patients, which were devoted to discussions of how the Choosing Wisely message resonates with those who may have less access to health care. This workshop was complemented by a research study planned in New Zealand with the Maori, the country’s indigenous Polynesian population, to examine if any of the Choosing Wisely recommendations may create an unintended worsening of inequities and to develop an in-depth understanding of the Maori community’s perspective on shared decision making. For more information on the Foundation work, please read the white paper Communicating About Overuse with Vulnerable Populations.
Those attending formed groups to discuss topics relevant to all countries, such as Medical Education, Use of Existing Research to Inform De-Implementation, Alignment of Choosing Wisely Recommendations with Clinical Practice Guidelines, Shared Decision Making and Engaging Patients and Public in Choosing Wisely, Tips for Choosing Quality Improvement Projects and writing them up for publication, and Conversation on Financial Toxicity as a harm of overuse.
New and emerging issues were also discussed that related to the differences in countries’ health systems, infrastructure and population size. These topics included Choosing Wisely in India’s National Grid, New Countries: Getting Started with Choosing Wisely and Advancing Choosing Wisely in Low and Middle Income Countries.