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Choosing Wisely

Ein Modell für das deutsche Gesundheitswesen?

Choosing Wisely

A model for the German health care system?

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Zeitschrift für Gerontologie und Geriatrie Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Das American Board of Internal Medicine (ABIM) startete 2011 die Choosing Wisely Initiative (CWI).

Material und Methoden

Mit dieser Initiative werden fachspezifische Top-5-Listen mit der Zielsetzung erstellt, diagnostische und therapeutische Maßnahmen, die den Patienten nicht nützen, sondern potenziell sogar schaden, zu reduzieren und damit die Kosten im Gesundheitswesen zu senken. Die von der American Geriatrics Society und der American Medical Director Association 2013 veröffentlichten Vorschläge werden diskutiert.

Ergebnisse

Der Prozess, so einfach er zunächst erscheint, wirft dennoch vielfältige Fragen auf. Eine Übertragung auf Deutschland scheint grundsätzlich möglich, sollte aber weitere Aspekte des Gesundheitswesen und seiner Organisation berücksichtigen.

Abstract

Background

In 2011 the American Board of Internal Medicine (ABIM) started the Choosing Wisely campaign.

Materials and methods

The goal was to establish top 5 lists by the medical societies to reduce diagnostic and therapeutic procedures which are not necessary or are potentially harmful, and thereby lower health care costs. The lists contributed by the American Geriatric Society and the American Medical Director Association in 2013 will be discussed.

Conclusion

At first glance, the idea seems simple, but numerous questions remain. Transferring this process to Germany appears theoretically possible, but various aspects of the health care system should be taken into consideration.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M. Gogol gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Klinik für Geriatrie, Krankenhaus Lindenbrunn, Lindenbrunn 1, 31863, Coppenbrügge, Deutschland

    M. Gogol

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Correspondence to M. Gogol.

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Gogol, M. Choosing Wisely . Z Gerontol Geriat 47, 23–26 (2014). https://doi.org/10.1007/s00391-013-0594-5

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  • DOI: https://doi.org/10.1007/s00391-013-0594-5

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