PT  - JOURNAL ARTICLE
AU  - Kost, Amanda
AU  - Genao, Inginia
AU  - Lee, Jay W.
AU  - Smith, Stephen R.
TI  - Clinical Decisions Made in Primary Care Clinics Before and After Choosing Wisely<sup>™</sup>
AID  - 10.3122/jabfm.2015.05.140332
DP  - 2015 Jul 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 471--474
VI  - 28
IP  - 4
4099  - http://www.jabfm.org/content/28/4/471.short
4100  - http://www.jabfm.org/content/28/4/471.full
SO  - J Am Board Fam Med2015 Jul 01; 28
AB  - Background: The Choosing Wisely™ campaign encourages physicians to avoid low-value care. Although widely lauded, no study has examined its impact on clinical decisions made in primary care settings.Methods: We compared clinical decisions made for 5 Choosing Wisely recommendations over two 6-month time periods before and after the campaign launch and an educational intervention to promote it at 3 primary care residency clinics.Results: The rate of recommendations adherence was high (93.2%) at baseline but did significantly increase to 96.5% after the launch. These findings suggest primary care physicians respond to training and publicity in low-value care, though further research is needed.Conclusion: Given that even small decreases of physician test ordering can produce large cost savings, the Choosing Wisely project may help achieve the health care triple aim.