The challenge of doing less
Identifieur interne : 001370 ( Istex/Curation ); précédent : 001369; suivant : 001371The challenge of doing less
Auteurs : Owen DyerSource :
- BMJ : British Medical Journal [ 0959-8138 ] ; 2013.
Descripteurs français
- Wicri :
- topic : Soins de santé, Ordre professionnel.
English descriptors
- KwdEn :
- Abim foundation, American academy, American association, American board, American cancer society, American healthcare, Architect wolfson, Best interest, Better outcomes, Better treatment, Biggest reason, Board chair, Bottom line, Brody, Budgetary imperatives, Cancer care, Cancer societies, Cancer treatment, Carolina school, Change owen dyer, Change practice, Classic scenario, Community health plans, Control costs, Core revenue streams, Core values, Cost curve, Current course, Daily practices, Daniel wolfson, Defensive medicine, Difficult work, Disinvest patient attitudes, Drive physicians, Elective procedures, Enforcement mechanisms, England journal, Entire reform debate, Ethical responsibility, Evidence base, Family medicine, Family physicians, Fastest growth, Fastest increase, Feature feature, Feature prescription, Final stages, Financial incentives, Free screening, Glen stream, Good intentions, Government intervention, Greatest proliferation, Grim prognosis, Group policy, Group practice, Hard time, Health care, Health care costs, Health spending, Health system, Healthcare costs, Hippocratic oath, Honor system, Hospital examination, Hospital goodwill, Howard brody, Human temptation, Idealistic view, Imperfect ideas, Implementation phase, Income drop, Innocent bystanders, Internal medicine, Jama smith, Journalist montreal, Large factor, Large majorities favor, Less imaging, Less surgery, Local mall, Longtime president, Magnetic resonance imaging scanner, Mall screening program, Many physicians, Marketing executive, Medical humanities, Medical societies, Medium term, Modern imaging, More treatment, Naive oath, Next year, Numerical projections, Original article, Other body, Other countries, Other industries, Other organizations, Other partners, Other people, Otis brawley, Overtreatment, Owen dyer, Patient expectations, Patient harm, Patient population, Payment model, Payment system, Payment systems, Peer review, Penile prostheses, Perfect storm, Performance measures, Perverse incentives, Physician income, Physician leadership, Political environment, Potential harm, Practical measures, Precarious ground, Professional organizations, Professional responsibility, Professional society, Prostate cancer awareness month, Prostate cancer business plan, Publishing group, Recent survey, Reimbursement system, Relentless pressures, Relevant interests, Research center, Revenue streams, Right thing, Runaway health spending, Russell harris, Sacrifices quality, Service employers, Service payment, Services questions, Sexual dysfunction, Small foundation, Solution everyone, Specialty societies, Strong disincentives, Superb vehicles, Surgical societies, Systematic review, Testing preoperatively, Tort reform, Uncomplicated sinusitis, Unnecessary procedures, Unnecessary surgeries, Unnecessary tests, Unproved benefit, Upton sinclair, Usual course, Vice president, Voluntary list, Wolfson, Wolfson notes, Word consumer reports, Wrong thing.
- Teeft :
- Abim foundation, American academy, American association, American board, American cancer society, American healthcare, Architect wolfson, Best interest, Better outcomes, Better treatment, Biggest reason, Board chair, Bottom line, Brody, Budgetary imperatives, Cancer care, Cancer societies, Cancer treatment, Carolina school, Change owen dyer, Change practice, Classic scenario, Community health plans, Control costs, Core revenue streams, Core values, Cost curve, Current course, Daily practices, Daniel wolfson, Defensive medicine, Difficult work, Disinvest patient attitudes, Drive physicians, Elective procedures, Enforcement mechanisms, England journal, Entire reform debate, Ethical responsibility, Evidence base, Family medicine, Family physicians, Fastest growth, Fastest increase, Feature feature, Feature prescription, Final stages, Financial incentives, Free screening, Glen stream, Good intentions, Government intervention, Greatest proliferation, Grim prognosis, Group policy, Group practice, Hard time, Health care, Health care costs, Health spending, Health system, Healthcare costs, Hippocratic oath, Honor system, Hospital examination, Hospital goodwill, Howard brody, Human temptation, Idealistic view, Imperfect ideas, Implementation phase, Income drop, Innocent bystanders, Internal medicine, Jama smith, Journalist montreal, Large factor, Large majorities favor, Less imaging, Less surgery, Local mall, Longtime president, Magnetic resonance imaging scanner, Mall screening program, Many physicians, Marketing executive, Medical humanities, Medical societies, Medium term, Modern imaging, More treatment, Naive oath, Next year, Numerical projections, Original article, Other body, Other countries, Other industries, Other organizations, Other partners, Other people, Otis brawley, Overtreatment, Owen dyer, Patient expectations, Patient harm, Patient population, Payment model, Payment system, Payment systems, Peer review, Penile prostheses, Perfect storm, Performance measures, Perverse incentives, Physician income, Physician leadership, Political environment, Potential harm, Practical measures, Precarious ground, Professional organizations, Professional responsibility, Professional society, Prostate cancer awareness month, Prostate cancer business plan, Publishing group, Recent survey, Reimbursement system, Relentless pressures, Relevant interests, Research center, Revenue streams, Right thing, Runaway health spending, Russell harris, Sacrifices quality, Service employers, Service payment, Services questions, Sexual dysfunction, Small foundation, Solution everyone, Specialty societies, Strong disincentives, Superb vehicles, Surgical societies, Systematic review, Testing preoperatively, Tort reform, Uncomplicated sinusitis, Unnecessary procedures, Unnecessary surgeries, Unnecessary tests, Unproved benefit, Upton sinclair, Usual course, Vice president, Voluntary list, Wolfson, Wolfson notes, Word consumer reports, Wrong thing.
Abstract
As the Choosing Wisely campaign enters its final stages, Owen Dyer looks at whether it can change practice or if the system is too stacked against change
Url:
DOI: 10.1136/bmj.f5904
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Le document en format XML
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<term>Bottom line</term>
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<term>Current course</term>
<term>Daily practices</term>
<term>Daniel wolfson</term>
<term>Defensive medicine</term>
<term>Difficult work</term>
<term>Disinvest patient attitudes</term>
<term>Drive physicians</term>
<term>Elective procedures</term>
<term>Enforcement mechanisms</term>
<term>England journal</term>
<term>Entire reform debate</term>
<term>Ethical responsibility</term>
<term>Evidence base</term>
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<term>Family physicians</term>
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<term>Fastest increase</term>
<term>Feature feature</term>
<term>Feature prescription</term>
<term>Final stages</term>
<term>Financial incentives</term>
<term>Free screening</term>
<term>Glen stream</term>
<term>Good intentions</term>
<term>Government intervention</term>
<term>Greatest proliferation</term>
<term>Grim prognosis</term>
<term>Group policy</term>
<term>Group practice</term>
<term>Hard time</term>
<term>Health care</term>
<term>Health care costs</term>
<term>Health spending</term>
<term>Health system</term>
<term>Healthcare costs</term>
<term>Hippocratic oath</term>
<term>Honor system</term>
<term>Hospital examination</term>
<term>Hospital goodwill</term>
<term>Howard brody</term>
<term>Human temptation</term>
<term>Idealistic view</term>
<term>Imperfect ideas</term>
<term>Implementation phase</term>
<term>Income drop</term>
<term>Innocent bystanders</term>
<term>Internal medicine</term>
<term>Jama smith</term>
<term>Journalist montreal</term>
<term>Large factor</term>
<term>Large majorities favor</term>
<term>Less imaging</term>
<term>Less surgery</term>
<term>Local mall</term>
<term>Longtime president</term>
<term>Magnetic resonance imaging scanner</term>
<term>Mall screening program</term>
<term>Many physicians</term>
<term>Marketing executive</term>
<term>Medical humanities</term>
<term>Medical societies</term>
<term>Medium term</term>
<term>Modern imaging</term>
<term>More treatment</term>
<term>Naive oath</term>
<term>Next year</term>
<term>Numerical projections</term>
<term>Original article</term>
<term>Other body</term>
<term>Other countries</term>
<term>Other industries</term>
<term>Other organizations</term>
<term>Other partners</term>
<term>Other people</term>
<term>Otis brawley</term>
<term>Overtreatment</term>
<term>Owen dyer</term>
<term>Patient expectations</term>
<term>Patient harm</term>
<term>Patient population</term>
<term>Payment model</term>
<term>Payment system</term>
<term>Payment systems</term>
<term>Peer review</term>
<term>Penile prostheses</term>
<term>Perfect storm</term>
<term>Performance measures</term>
<term>Perverse incentives</term>
<term>Physician income</term>
<term>Physician leadership</term>
<term>Political environment</term>
<term>Potential harm</term>
<term>Practical measures</term>
<term>Precarious ground</term>
<term>Professional organizations</term>
<term>Professional responsibility</term>
<term>Professional society</term>
<term>Prostate cancer awareness month</term>
<term>Prostate cancer business plan</term>
<term>Publishing group</term>
<term>Recent survey</term>
<term>Reimbursement system</term>
<term>Relentless pressures</term>
<term>Relevant interests</term>
<term>Research center</term>
<term>Revenue streams</term>
<term>Right thing</term>
<term>Runaway health spending</term>
<term>Russell harris</term>
<term>Sacrifices quality</term>
<term>Service employers</term>
<term>Service payment</term>
<term>Services questions</term>
<term>Sexual dysfunction</term>
<term>Small foundation</term>
<term>Solution everyone</term>
<term>Specialty societies</term>
<term>Strong disincentives</term>
<term>Superb vehicles</term>
<term>Surgical societies</term>
<term>Systematic review</term>
<term>Testing preoperatively</term>
<term>Tort reform</term>
<term>Uncomplicated sinusitis</term>
<term>Unnecessary procedures</term>
<term>Unnecessary surgeries</term>
<term>Unnecessary tests</term>
<term>Unproved benefit</term>
<term>Upton sinclair</term>
<term>Usual course</term>
<term>Vice president</term>
<term>Voluntary list</term>
<term>Wolfson</term>
<term>Wolfson notes</term>
<term>Word consumer reports</term>
<term>Wrong thing</term>
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<keywords scheme="Teeft" xml:lang="en"><term>Abim foundation</term>
<term>American academy</term>
<term>American association</term>
<term>American board</term>
<term>American cancer society</term>
<term>American healthcare</term>
<term>Architect wolfson</term>
<term>Best interest</term>
<term>Better outcomes</term>
<term>Better treatment</term>
<term>Biggest reason</term>
<term>Board chair</term>
<term>Bottom line</term>
<term>Brody</term>
<term>Budgetary imperatives</term>
<term>Cancer care</term>
<term>Cancer societies</term>
<term>Cancer treatment</term>
<term>Carolina school</term>
<term>Change owen dyer</term>
<term>Change practice</term>
<term>Classic scenario</term>
<term>Community health plans</term>
<term>Control costs</term>
<term>Core revenue streams</term>
<term>Core values</term>
<term>Cost curve</term>
<term>Current course</term>
<term>Daily practices</term>
<term>Daniel wolfson</term>
<term>Defensive medicine</term>
<term>Difficult work</term>
<term>Disinvest patient attitudes</term>
<term>Drive physicians</term>
<term>Elective procedures</term>
<term>Enforcement mechanisms</term>
<term>England journal</term>
<term>Entire reform debate</term>
<term>Ethical responsibility</term>
<term>Evidence base</term>
<term>Family medicine</term>
<term>Family physicians</term>
<term>Fastest growth</term>
<term>Fastest increase</term>
<term>Feature feature</term>
<term>Feature prescription</term>
<term>Final stages</term>
<term>Financial incentives</term>
<term>Free screening</term>
<term>Glen stream</term>
<term>Good intentions</term>
<term>Government intervention</term>
<term>Greatest proliferation</term>
<term>Grim prognosis</term>
<term>Group policy</term>
<term>Group practice</term>
<term>Hard time</term>
<term>Health care</term>
<term>Health care costs</term>
<term>Health spending</term>
<term>Health system</term>
<term>Healthcare costs</term>
<term>Hippocratic oath</term>
<term>Honor system</term>
<term>Hospital examination</term>
<term>Hospital goodwill</term>
<term>Howard brody</term>
<term>Human temptation</term>
<term>Idealistic view</term>
<term>Imperfect ideas</term>
<term>Implementation phase</term>
<term>Income drop</term>
<term>Innocent bystanders</term>
<term>Internal medicine</term>
<term>Jama smith</term>
<term>Journalist montreal</term>
<term>Large factor</term>
<term>Large majorities favor</term>
<term>Less imaging</term>
<term>Less surgery</term>
<term>Local mall</term>
<term>Longtime president</term>
<term>Magnetic resonance imaging scanner</term>
<term>Mall screening program</term>
<term>Many physicians</term>
<term>Marketing executive</term>
<term>Medical humanities</term>
<term>Medical societies</term>
<term>Medium term</term>
<term>Modern imaging</term>
<term>More treatment</term>
<term>Naive oath</term>
<term>Next year</term>
<term>Numerical projections</term>
<term>Original article</term>
<term>Other body</term>
<term>Other countries</term>
<term>Other industries</term>
<term>Other organizations</term>
<term>Other partners</term>
<term>Other people</term>
<term>Otis brawley</term>
<term>Overtreatment</term>
<term>Owen dyer</term>
<term>Patient expectations</term>
<term>Patient harm</term>
<term>Patient population</term>
<term>Payment model</term>
<term>Payment system</term>
<term>Payment systems</term>
<term>Peer review</term>
<term>Penile prostheses</term>
<term>Perfect storm</term>
<term>Performance measures</term>
<term>Perverse incentives</term>
<term>Physician income</term>
<term>Physician leadership</term>
<term>Political environment</term>
<term>Potential harm</term>
<term>Practical measures</term>
<term>Precarious ground</term>
<term>Professional organizations</term>
<term>Professional responsibility</term>
<term>Professional society</term>
<term>Prostate cancer awareness month</term>
<term>Prostate cancer business plan</term>
<term>Publishing group</term>
<term>Recent survey</term>
<term>Reimbursement system</term>
<term>Relentless pressures</term>
<term>Relevant interests</term>
<term>Research center</term>
<term>Revenue streams</term>
<term>Right thing</term>
<term>Runaway health spending</term>
<term>Russell harris</term>
<term>Sacrifices quality</term>
<term>Service employers</term>
<term>Service payment</term>
<term>Services questions</term>
<term>Sexual dysfunction</term>
<term>Small foundation</term>
<term>Solution everyone</term>
<term>Specialty societies</term>
<term>Strong disincentives</term>
<term>Superb vehicles</term>
<term>Surgical societies</term>
<term>Systematic review</term>
<term>Testing preoperatively</term>
<term>Tort reform</term>
<term>Uncomplicated sinusitis</term>
<term>Unnecessary procedures</term>
<term>Unnecessary surgeries</term>
<term>Unnecessary tests</term>
<term>Unproved benefit</term>
<term>Upton sinclair</term>
<term>Usual course</term>
<term>Vice president</term>
<term>Voluntary list</term>
<term>Wolfson</term>
<term>Wolfson notes</term>
<term>Word consumer reports</term>
<term>Wrong thing</term>
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<term>Ordre professionnel</term>
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<front><div type="abstract">As the Choosing Wisely campaign enters its final stages, Owen Dyer looks at whether it can change practice or if the system is too stacked against change</div>
</front>
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