Promoting evidence-based high-value health care remains one of the foremost challenges in medicine today. Increasing scrutiny of the real-world effectiveness, safety, and costs of medical care, including therapeutics, diagnostic tests, procedures, operations, and even decisions regarding whether to admit a patient to the hospital or schedule an outpatient follow-up, have broadened and deepened our understanding of high-quality and high-value care. In response, multiple specialty societies, prompted by the Choosing Wisely campaign,1 have revised their clinical practice guidelines and recommendations to address not only what care should be provided but also what care should not. But avoiding overtreatment and overdiagnosis are often easier said than done, even at the most prestigious and well-resourced institutions in the world.
Ross JS. Promoting Evidence-Based High-Value Health Care. JAMA Intern Med. 2015;175(9):1564. doi:10.1001/jamainternmed.2015.3543