• Jonas Z Hines, Justin L Sewell, Niraj L Sehgal, Christopher Moriates, Claire K Horton, and Alice Hm Chen.
• University of California San Francisco, CA jonas.hines@ucsf.edu.
• Am J Med Qual. 2015 Nov 1; 30 (6): 566-70.

AbstractThe "Choosing Wisely" campaign seeks to reduce unnecessary care in the United States through self-published recommendations by professional societies. The research team sought to identify factors related to low-value care in the Department of Medicine at the University of California San Francisco, using a subset of clinical scenarios published by the American College of Physicians. The team further explored respondents' values on cost consciousness. A notable minority disagreed with the identified low-value tests. In 6 of 8 scenarios, faculty were more likely to rate the scenarios as representing low-value testing (P < .05). Level of training was the only predictor of attitudes toward unnecessary care after linear regression analysis (coefficient 3.14, P < .001). Increased postgraduate education about cost of care is recommended. © The Author(s) 2014.

16 keywords...

hide…