Reducing Inappropriate Use of Diagnostic Imaging Through the Choosing Wisely Initiative.
J Am Coll Radiol. 2017 Sep;14(9):1245-1252. doi: 10.1016/j.jacr.2017.03.012. Epub 2017 Apr 27. Levin DC1, Rao VM2.
In the spring of 2012, the Choosing Wisely (CW) initiative of the American Board of Internal Medicine Foundation (ABIMF) was announced in JAMA by Cassel and Guest . Its purpose was to reduce the use of tests and treatments that were felt to be overused or often unnecessary. Before that time, concern had been expressed by both payers and policymakers about the inappropriate use of imaging and other tests and treatments [2,3]. Among the physician community itself, many agreed with this concern . The ABIMF contacted major medical societies in many specialties and asked them to participate. Nine did so initially, and each produced a list of five tests or treatments within its purview that the society believed were usually inappropriate or unnecessary . To its credit, the ACR was one of the original nine. The announcement of the CW initiative and these lists in April 2012 generated favorable publicity for the medical profession [6,7]. Further publicity resulted from the involvement of Consumer Reports in the campaign .