The challenge of implementing Less is More medicine: A European perspective

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Kherad O., Peiffer-Smadja N., Karlafti L., Lember M., Van Aerde N., Gunnarsson O., ...More

EUROPEAN JOURNAL OF INTERNAL MEDICINE, vol.76, pp.1-7, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 76
  • Publication Date: 2020
  • Doi Number: 10.1016/j.ejim.2020.04.014
  • Journal Name: EUROPEAN JOURNAL OF INTERNAL MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE, MEDLINE
  • Page Numbers: pp.1-7
  • Keywords: Overuse, Waste, Medical education, Healthcare, Choosing wisely, CLINICAL-PRACTICE GUIDELINES, HEALTH-CARE SERVICES, DEFENSIVE MEDICINE, PHYSICIANS, OVERUSE, OVERTREATMENT, RECOMMENDATIONS, OVERDIAGNOSIS, PRESCRIPTION, PERCEPTIONS
  • Eskisehir Osmangazi University Affiliated: Yes

Abstract

The concept of Less is More medicine emerged in North America in 2010. It aims to serve as an invitation to recognize the potential risks of overuse of medical care that may result in harm rather than in better health, tackling the erroneous assumption that more care is always better. In response, several medical societies across the world launched quality-driven campaigns ("Choosing Wisely") and published "top-five lists" of low-value medical interventions that should be used to help make wise decisions in each clinical domain, by engaging patients in conversations about unnecessary tests, treatments and procedures.