Should UK based Physiotherapists Choose Wisely?

Abstract

In 2012 the Choose Wisely campaign was launched in the United States in order to address concerns regarding medicalisation, over diagnosis and medical consumerism. The campaign has now spread internationally and includes a number of countries including Canada, Australia, New Zealand and Germany. The primary aim of the campaign is to facilitate healthcare professionals and patients to question the overall utility of medical interventions. Professionals through their professional organisations identify at least five commonly used interventions or tests, within their areas of speciality, which they feel provided no or little benefit to patients. This paper provides the background to the Choose Wisely campaign. The paper reviews the concepts of medicalisation, over diagnosis and medical consumerism, before considering the utility of the campaign in the UK alongside other forms of governance such as NICE. The paper goes on to consider distributive justice as the principal ethical issue related to the campaign. The paper concludes by asking if UK based Physiotherapists should Choose Wisely.

Can language enhance physical therapists’ willingness to follow Choosing Wisely recommendations? A best-worst scaling study

“…Choosing Wisely is a global initiative to reduce low-value care; 1 care that provides little-to-no benefit or whose potential harm exceeds the probable benefit. 2 Many physical therapists fail to provide evidence-based care when managing patients with musculoskeletal conditions 3 and this is not improving over time.…”