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Invited Commentary
Less Is More
December 2015

Changing Clinician Behavior When Less Is More

Author Affiliations
  • 1Continuous Process Improvement Department, UCSF Health, University of California–San Francisco
  • 2Division of General Internal Medicine and Center for Health Care Value, University of California–San Francisco
  • 3Division of Pulmonary and Critical Care Medicine, San Francisco General Hospital
  • 4Clinical and Translational Science Institute Implementation Science Training Program, University of California–San Francisco
JAMA Intern Med. 2015;175(12):1921-1922. doi:10.1001/jamainternmed.2015.5987

The American Board of Internal Medicine Foundation intended for the Choosing Wisely campaign to support conversations between clinicians and their patients about what care is necessary.1 The campaign sought to do so by involving professional societies in creating lists of unnecessary tests and procedures and disseminating the lists to their membership. At the same time, the campaign partnered with Consumer Reports to produce consumer-friendly briefs of Choosing Wisely recommendations and to disseminate the briefs to consumers. It remains an open question whether clinicians or consumers at large are aware of specific Choosing Wisely recommendations or have changed their attitudes toward unnecessary procedures and tests.

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