TY - JOUR
T1 - A Choosing Wisely top-5 list to support general practitioners in Austria
AU - Glechner, Anna
AU - Rabady, Susanne
AU - Bachler, Herbert
AU - Dachs, Christoph
AU - Flamm, Maria
AU - Glehr, Reinhold
AU - Hoffmann, Kathryn
AU - Hoffmann-Dorninger, Renate
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).
PY - 2021/10
Y1 - 2021/10
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
UR - http://www.scopus.com/inward/record.url?scp=85105603966&partnerID=8YFLogxK
U2 - 10.1007/s10354-021-00846-6
DO - 10.1007/s10354-021-00846-6
M3 - Journal article
C2 - 33970380
SN - 0043-5341
VL - 171
SP - 293
EP - 300
JO - Wiener Medizinische Wochenschrift
JF - Wiener Medizinische Wochenschrift
IS - 13-14
ER -