Choosing Wisely in a time of resource constraints

Healthcare systems globally are facing multiple crises such as resource constraints and a burnt out workforce. Clinicians are being asked to do more with less, leading to backlogs in access to services, health inequalities, and patient complexity. Evidence-based ways to curb wasteful spending and promote sustainability are crucial. Choosing Wisely campaigns, implemented in over 30 countries, offer recommendations to reduce overuse and waste in healthcare. It is important to update campaign principles, engage patients, utilize system levers for change, leverage virtual care, and establish priorities to reduce overuse. Collaboration among diverse groups, engagement with decision-makers, and support for shared decision-making are crucial for driving transformative change in healthcare.

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