After the Choosing Wisely Initiative (CWI) was founded in the US in 2009 with the goal of reducing unnecessary or harmful medical services (www.choosingwisely.org), this initiative has now spread worldwide. As part of the CWI, various medical associations create so-called Top 5 lists, i.e. lists of five therapeutic measures, tests, or services in their field that are used too frequently (lack of evidence of effectiveness, side effects, etc.) and should therefore be questioned by patients and physicians. The aim of the initiative is to increase the effectiveness of healthcare and reduce potential harm to patients. In a planned merger of Austrian medical societies and institutions focusing on evidence-based medicine, this quality initiative is now to be established in Austria under the title Gemeinsam Gut Entscheiden (Deciding Together for the Common Good).
The goals of Gemeinsam Gut Entscheiden are:
- • To increase the quality and efficiency (avoidance of over-, under- and mis-treatment) of medical care for patients through more rational decision-making
- • Intensifying and systematizing the dialogue between patients and physicians on various medical services to strengthen participatory decision-making
- • Involving multidisciplinary, interprofessional experts and patients in the creation of recommendation lists (top 5 lists)
- • Avoiding regional differences through coordination by Austrian professional associations
In cooperation with Danube University Krems and Cochrane Austria, top lists for the respective specialist areas are being compiled together with Austrian professional associations. In addition, evidence-based information on the respective recommendations is being produced for laypeople. Measures are also being taken to raise awareness of the initiative among the public and stakeholders. Activities to disseminate the top lists and evidence-based information for laypeople are being carried out.
The project is being carried out on behalf of the Styrian Health Fund, the Lower Austrian Health Fund, and the Austrian Health Insurance Fund.
Project duration: May 2019 to May 2025
Further information is available on the homepage.