Letters Harmful medical overuse

Systemic reforms are needed to reduce harmful medical overuse

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g4711 (Published 22 July 2014) Cite this as: BMJ 2014;349:g4711
  1. Joshua Freeman, physician1
  1. 1University of Kansas Department of Family Medicine, Kansas City, KS 66160, USA
  1. jfreeman{at}kumc.edu

The Choosing Wisely campaign is an excellent step forward in getting physicians to think about what they are doing, and to follow the evidence.1 That these lists of recommendations are generated by the physicians’ specialty societies likely increases their effectiveness.

Most of the recommendations, however, are fairly specific to individual patients, tepid, and not system changing. Widespread adoption of …

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