A Choosing Wisely top-5 list to support general practitioners in Austria

Anna Glechner; Susanne Rabady; Herbert Bachler; Christoph Dachs; Maria Flamm; Reinhold Glehr; Kathryn Hoffmann; Renate Hoffmann-Dorninger; Gustav Kamenski; Matthias Lutz; Stephanie Poggenburg; Wilfried Tschiggerl; Karl Horvath

doi:10.1007/s10354-021-00846-6

A Choosing Wisely top-5 list to support general practitioners in Austria

Titel in Übersetzung: Eine Choosing Wisely Top-5-Liste zur Unterstützung von Allgemeinmedizinern in Österreich

Anna Glechner
, Susanne Rabady
, Herbert Bachler
, Christoph Dachs
, Maria Flamm
, Reinhold Glehr
, Kathryn Hoffmann
, Renate Hoffmann-Dorninger
, Gustav Kamenski
, Matthias Lutz
, Stephanie Poggenburg
, Wilfried Tschiggerl
, Karl Horvath

Kompetenzzentrum Allgemein- und Familienmedizin

Publikation: Beitrag in Fachzeitschrift (peer-reviewed) › Artikel in Fachzeitschrift

1 Zitat (Scopus)

Abstract

Aus einem Pool von 147 verlässlichen Empfehlungen wählten 10 Experten der Österreichischen Gesellschaft für Allgemein- und Familienmedizin 21 relevante Empfehlungen als Grundlage für den Delphi-Prozess aus. In 2 Delphi-Runden erstellten 11 Experten eine Top-5-Liste von Empfehlungen, um eine medizinische Überversorgung in österreichischen Hausarztpraxen zu reduzieren. Davon befassen sich 3 mit der Frage des Antibiotikaeinsatzes bei viralen Infekten der oberen Atemwege, bei leichter Otitis media von Kindern und bei asymptomatischer Bakteriurie. Die beiden anderen „Don’t-do-Empfehlungen“ betreffen bildgebende Untersuchungen bei unspezifischen Rückenschmerzen sowie Routineuntersuchungen zur Früherkennung von Prostatakrebs. In einer anschließenden Umfrage wurde ermittelt, welche Gründe den Ausschlag für die Auswahl dieser Top-5-Empfehlungen gaben: die Häufigkeit des Themas, mögliche Schäden, Kosten und die Erwartungen der Patienten. Die Experten erhoffen sich von der Kampagne eine Zeitersparnis bei der Patientenaufklärung und eine rechtliche Absicherung bei unterlassenen Maßnahmen.

Titel in Übersetzung	Eine Choosing Wisely Top-5-Liste zur Unterstützung von Allgemeinmedizinern in Österreich
Originalsprache	Englisch
Seiten (von - bis)	293-300
Seitenumfang	8
Fachzeitschrift	Wiener Medizinische Wochenschrift
Jahrgang	171
Ausgabenummer	13-14
DOIs	https://doi.org/10.1007/s10354-021-00846-6
Publikationsstatus	Veröffentlicht - Okt. 2021

UN SDGs

Dieser Output leistet einen Beitrag zu folgendem(n) Ziel(en) für nachhaltige Entwicklung

SDG 3 – Gute Gesundheit und Wohlergehen

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10.1007/s10354-021-00846-6

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title = "A Choosing Wisely top-5 list to support general practitioners in Austria",

abstract = "From a pool of 147 reliable recommendations, ten experts from the Austrian Society of General Practice and Family Medicine selected 21 relevant recommendations as the basis for the Delphi process. In two Delphi rounds, eleven experts established a top‑5 list of recommendations designed for Austrian family practice to reduce medical overuse. Three of the chosen recommendations address the issue of antibiotic usage in patients with viral upper respiratory tract infections, in children with mild otitis media, and in patients with asymptomatic bacteriuria. The other two {"}do not do{"} recommendations concern imaging studies for nonspecific low back pain and routine screening to detect prostate cancer. A subsequent survey identified the reasons for selecting these top‑5 recommendations: the frequency of the issue, potential harms, costs, and patients' expectations. Experts hope the campaign will save time in educating patients and provide legal protection for omitting measures.",

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note = "Funding Information: We wish to thank Edith Kertesz from the Danube University Krems for administrative support. We also would like to thank the Austrian Society of General Practice and Family Medicine for their commitment in communicating the campaign recommendations. Lower Austrian and Styrian regional health insurance funds, Health Fund Styria, Lower Austrian Health and Social Fund Publisher Copyright: {\textcopyright} 2021, The Author(s).",

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AU - Dachs, Christoph

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AU - Glehr, Reinhold

AU - Hoffmann, Kathryn

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AU - Kamenski, Gustav

AU - Lutz, Matthias

AU - Poggenburg, Stephanie

AU - Tschiggerl, Wilfried

AU - Horvath, Karl

N1 - Funding Information: We wish to thank Edith Kertesz from the Danube University Krems for administrative support. We also would like to thank the Austrian Society of General Practice and Family Medicine for their commitment in communicating the campaign recommendations. Lower Austrian and Styrian regional health insurance funds, Health Fund Styria, Lower Austrian Health and Social Fund Publisher Copyright: © 2021, The Author(s).

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N2 - From a pool of 147 reliable recommendations, ten experts from the Austrian Society of General Practice and Family Medicine selected 21 relevant recommendations as the basis for the Delphi process. In two Delphi rounds, eleven experts established a top‑5 list of recommendations designed for Austrian family practice to reduce medical overuse. Three of the chosen recommendations address the issue of antibiotic usage in patients with viral upper respiratory tract infections, in children with mild otitis media, and in patients with asymptomatic bacteriuria. The other two "do not do" recommendations concern imaging studies for nonspecific low back pain and routine screening to detect prostate cancer. A subsequent survey identified the reasons for selecting these top‑5 recommendations: the frequency of the issue, potential harms, costs, and patients' expectations. Experts hope the campaign will save time in educating patients and provide legal protection for omitting measures.

AB - From a pool of 147 reliable recommendations, ten experts from the Austrian Society of General Practice and Family Medicine selected 21 relevant recommendations as the basis for the Delphi process. In two Delphi rounds, eleven experts established a top‑5 list of recommendations designed for Austrian family practice to reduce medical overuse. Three of the chosen recommendations address the issue of antibiotic usage in patients with viral upper respiratory tract infections, in children with mild otitis media, and in patients with asymptomatic bacteriuria. The other two "do not do" recommendations concern imaging studies for nonspecific low back pain and routine screening to detect prostate cancer. A subsequent survey identified the reasons for selecting these top‑5 recommendations: the frequency of the issue, potential harms, costs, and patients' expectations. Experts hope the campaign will save time in educating patients and provide legal protection for omitting measures.

KW - Austria

KW - Child

KW - General Practice

KW - General Practitioners

KW - Humans

KW - Male

KW - Medical Overuse

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