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N Engl J Med. 2014 Feb 13;370(7):589-92. doi: 10.1056/NEJMp1314965. Epub 2014 Jan 22.

Choosing wisely--the politics and economics of labeling low-value services.

Author information

1
From the Dartmouth Institute for Health Policy and Clinical Practice (N.E.M., C.H.C.), the Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth (N.E.M), and the Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center (N.E.M., C.H.C.) - all in Lebanon, NH; and the Department of Health Care Policy, Harvard Medical School (T.D.S.), the Division of General Internal Medicine, Brigham and Women's Hospital (T.D.S.), Partners Healthcare System (T.D.S.), and the Department of Health Policy and Management, Harvard School of Public Health (M.B.R.) - all in Boston.

Abstract

More than 40 medical specialties have identified "Choosing Wisely" lists of five overused or low-value services. But these services vary widely in potential impact on care and spending, and specialty societies often name other specialties' services as low value.

PMID:
24450859
PMCID:
PMC4104300
DOI:
10.1056/NEJMp1314965
[Indexed for MEDLINE]
Free PMC Article

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