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01-02-2017 | Editorial

Barriers to Choosing Wisely® in Primary Care: It’s Not Just About “the Money”

Author: Eugene C. Rich, MD

Published in: Journal of General Internal Medicine | Issue 2/2017

Excerpt

In this issue of the Journal of General Internal Medicine, Zikmund-Fisher and colleagues report on results from two national surveys of primary care clinicians exploring the barriers to implementing 12 specific Choosing Wisely® (CW) recommendations.1 The investigators describe survey findings from 34 % of 2000 internal medicine, family medicine, and geriatrics physicians contacted through a nationally representative random sample and 48 % of 2500 representative primary care clinicians (physicians, nurse practitioners, and physician assistants) practicing in Department of Veterans Affairs (VA) facilities. Despite the differences in the two surveyed clinician populations, and in their practice settings, the different respondents noted remarkably consistent concerns regarding the feasibility of following these CW recommendations in their setting. …

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O’Malley AS, Collins A, Contreary K, Rich EC. Barriers to and facilitators of evidence-based decision making at the point of care: implications for delivery systems, payers, and policy makers. MDM Policy & Pract. 2016;1(1).

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O’Malley AS, Rich EC, Maccarone A, DesRoches CM, Reid RJ. Disentangling the linkage of primary care features to patient outcomes: a review of current literature, data sources, and measurement needs. J Gen Intern Med. 2015;30(Suppl 3):S576–S585.CrossRefPubMed

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Title: Barriers to Choosing Wisely® in Primary Care: It’s Not Just About “the Money”
Author: Eugene C. Rich, MD
Publication date: 01-02-2017
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 2/2017
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-016-3916-7

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