Abstract
Young physicians inherited the principle of 'First Do No Harm' from Hippocrates, considered the father of medicine. It is necessary to expand this principle's scope, which is also the importance and priority today, as "First Do No Harm and Be Helpful," and choose the practice that provides benefits while emphasizing safety in patient care.
In this context, the “Choosing Wisely philosophy” ; aims to prevent excessive and unnecessary exams, diagnosis and treatment processes by making rational choices to provide the minimum harm as well as the maximum benefit to the patient. The COVID-19 pandemic, which changed the socio-cultural and economic balances worldwide, has enabled countries to reconsider and question their health systems and reminded us once again how important it is to use existing resources rationally.
It has become even more important to prevent excessive and unnecessary use of available resources by making rational choices in the post-COVID-19 pandemic World. This article will focus on the rational management of resources in the COVID-19 and post-COVID-19 pandemic, the "Choosing Wisely" campaign, its place, and its importance in the COVID-19 pandemic and post-COVID-19 pandemic World.
References
- 1. Choosing Wisely. Erişim Tarihi: 23.12.2021. https://www.choosingwisely.org/our-mission/
- 2. Choosing Wisely. Unnecessary Tests and Procedures In the Health Care System Erişim Tarihi: 01.05.2014. https://choosingwisely.org
- 3. Brody H. Medicine's ethical responsibility for health care reform--the Top Five list. N Engl J Med. 2010;362(4):283-5.
- 4. Good Stewardship Working Group. The "top 5" lists in primary care: meeting the responsibility of professionalism. Arch Intern Med. 2011;171(15):1385-90.
- 5. European Federation of Internal Medicine. Erişim Tarihi: 23.12.2021. https://efim.org/system/files/downloads/cw_efim_milan_20012017.pdf
- 6. Yildiz P., Tanriover MD., Unal S. Turkish Society of Internal Medicine choosing wisely Project. Eur J Intern Med. 2020; 76:125-126.
- 7. Berwick DM., Hackbarth AD. Eliminating Waste in US Health Care. JAMA. 2012 ;307(14):1513-6.
- 8. Shrank WH., Rogstad TL., Parekh N. Waste in the US Health Care System Estimated Costs and Potential for Savings. JAMA. 2019;322(15):1501-1509
- 9. Türkiye İstatistik Kurumu. Erişim Tarihi: 23.12.2021. https://data.tuik.gov.tr/Bulten/Index?p=Saglik-Harcamalari-Istatistikleri-2020-37192
- 10. Schultz MA., Doty M. Why the history and physical examination still matter. JAAPA. 2016;29(3):41-5.
- 11. World Health Organization (WHO). Erişim Tarihi: 23.12.2021. Available from: https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance
- 12. Vincenzo Atella V., Mortari AP., Kopinska J., Belotti F., Lapi F., Cricelli C., et al. Trends in age‐related disease burden and healthcare utilization. Aging Cell. 2019; 18(1): e12861.
- 13. Nicola M., Alsafi Z., Sohrabi C., Kerwan A., Al-Jabir A., Iosifidis C., et al. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. Int J Surg. 2020;78:185-193.
- 14. Wolrd Health Organisation (WHO). Erişim Tarihi: 23.12.2021. https://www.who.int/publications/i/item/WHO-2019-nCoV-Country_IAR-2020.1
- 15. Sen-Crowe B., Sutherland M., McKenney M., Elkbuli A. A Closer Look Into Global Hospital Beds Capacity and Resource Shortages During the COVID-19 Pandemic. J Surg Res. 2021;260:56-63.
- 16. The Choosing Wisely® Campaign. COVID-19 updates. Erişim Tarihi: 23.12.2021. https://www.choosingwisely.org/coronavirus-update/
- 17. The Choosing Wisely® Campaigns. Choosing Wisely COVID-19 Recommendations. Erişim Tarihi: January 26, 2021. https://choosingwiselycanada.org/perspective/cw-covid-19/
- 18. EFIM. Choosing Wisely - COVID-19 Recommendations. Submitted by Aneta on 6 April 2020 - 8:47. Erişim Tarihi: 23.12.2021. http://efim.org/working-groups/choosing-wisely-covid-19-recommendations
- 19. Cho HJ., Feldman LS., Keller S., Hoffman A., Pahwa AK., Krouss M. Choosing Wisely in the COVID-19 Era: Preventing Harm to Healthcare Workers. J Hosp Med. 2020;15(6):360-362.
- 20. Choosing Wisely Australia. Pandemic guidance for clinicians. Erişim Tarihi: 23.12.2021. https://www.choosingwisely.org.au/resources/health-professionals/choosing-wisely-australia-pandemic-guidance
- 21. The Collage of Family Physicians of Canada. Choosing Wisely Through Primary Care. Erişim tarihi: 23.12.2021. https://www.cfpc.ca/en/education-professional-development/practice-tools-guidelines/choosing-wisely-and-prevention-through-primary-car
- 22. Kimberly Wintemute. Post-COVID primary care reboot? Erişim Tarihi: 07.05.2020. https://www.cfp.ca/news/2020/05/07/5-07
- 23. Coronavirus disease (COVID-19) pandemic. World Health Organization. https://www.who.int/europe/emergencies/situations/covid-19
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- 25. Romanello, Marina, et al. "The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future." The Lancet 398.10311 (2021): 1619-1662.
Abstract
Tıbbın babası olarak kabul edilen Hipokrat’tan genç hekimlere ‘Önce Zarar Verme’ ilkesi miras kalmıştı. Günümüzde önemi ve önceliği devam eden bu ilkenin kapsamını ‘Önce Zarar Verme ve Faydalı Ol’ olarak genişleterek, bir yandan hasta bakımında güvenliği öne çıkarırken diğer yandan da fayda sağlayan uygulamaların seçilmesi gerekli görülmektedir. Bu bağlamda Choosing Wisely felsefesi; akılcı seçimler yapılarak aşırı ve gereksiz tetkik, tanı ve tedavi süreçlerinin engellenmesini ve bu şekilde hastaya en fazla faydanın yanında en az zararın verilmesini sağlamayı amaçlamaktadır. Tüm dünyada sosyokültürel ve ekonomik yönden dengeleri değiştiren COVID-19 pandemisi ülkelerin sağlık sistemlerini yeniden gözden geçirmelerini ve sorgulamalarını sağlamış, var olan kaynakların akılcı kullanılmasının ne kadar önemli olduğunu bir kez daha bizlere hatırlatmıştır. COVID-19 pandemisi sonrası dünya gündeminde iklim krizi başta olmak üzere her gün yeni krizler ortaya çıkmakta ve tüm bu sorunların yönetiminde akılcı seçimler yapılarak kaynakların etkin kullanımı öne çıkmaktadır. Bu yazıda COVID-19 pandemisi sonrası yeni dünyada kaynakların akılcı yönetimi ana başlığı ile “Choosing Wisely” felsefesinin özellikle sağlık sistemimizdeki önemi üzerinde durulacaktır.
References
- 1. Choosing Wisely. Erişim Tarihi: 23.12.2021. https://www.choosingwisely.org/our-mission/
- 2. Choosing Wisely. Unnecessary Tests and Procedures In the Health Care System Erişim Tarihi: 01.05.2014. https://choosingwisely.org
- 3. Brody H. Medicine's ethical responsibility for health care reform--the Top Five list. N Engl J Med. 2010;362(4):283-5.
- 4. Good Stewardship Working Group. The "top 5" lists in primary care: meeting the responsibility of professionalism. Arch Intern Med. 2011;171(15):1385-90.
- 5. European Federation of Internal Medicine. Erişim Tarihi: 23.12.2021. https://efim.org/system/files/downloads/cw_efim_milan_20012017.pdf
- 6. Yildiz P., Tanriover MD., Unal S. Turkish Society of Internal Medicine choosing wisely Project. Eur J Intern Med. 2020; 76:125-126.
- 7. Berwick DM., Hackbarth AD. Eliminating Waste in US Health Care. JAMA. 2012 ;307(14):1513-6.
- 8. Shrank WH., Rogstad TL., Parekh N. Waste in the US Health Care System Estimated Costs and Potential for Savings. JAMA. 2019;322(15):1501-1509
- 9. Türkiye İstatistik Kurumu. Erişim Tarihi: 23.12.2021. https://data.tuik.gov.tr/Bulten/Index?p=Saglik-Harcamalari-Istatistikleri-2020-37192
- 10. Schultz MA., Doty M. Why the history and physical examination still matter. JAAPA. 2016;29(3):41-5.
- 11. World Health Organization (WHO). Erişim Tarihi: 23.12.2021. Available from: https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance
- 12. Vincenzo Atella V., Mortari AP., Kopinska J., Belotti F., Lapi F., Cricelli C., et al. Trends in age‐related disease burden and healthcare utilization. Aging Cell. 2019; 18(1): e12861.
- 13. Nicola M., Alsafi Z., Sohrabi C., Kerwan A., Al-Jabir A., Iosifidis C., et al. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. Int J Surg. 2020;78:185-193.
- 14. Wolrd Health Organisation (WHO). Erişim Tarihi: 23.12.2021. https://www.who.int/publications/i/item/WHO-2019-nCoV-Country_IAR-2020.1
- 15. Sen-Crowe B., Sutherland M., McKenney M., Elkbuli A. A Closer Look Into Global Hospital Beds Capacity and Resource Shortages During the COVID-19 Pandemic. J Surg Res. 2021;260:56-63.
- 16. The Choosing Wisely® Campaign. COVID-19 updates. Erişim Tarihi: 23.12.2021. https://www.choosingwisely.org/coronavirus-update/
- 17. The Choosing Wisely® Campaigns. Choosing Wisely COVID-19 Recommendations. Erişim Tarihi: January 26, 2021. https://choosingwiselycanada.org/perspective/cw-covid-19/
- 18. EFIM. Choosing Wisely - COVID-19 Recommendations. Submitted by Aneta on 6 April 2020 - 8:47. Erişim Tarihi: 23.12.2021. http://efim.org/working-groups/choosing-wisely-covid-19-recommendations
- 19. Cho HJ., Feldman LS., Keller S., Hoffman A., Pahwa AK., Krouss M. Choosing Wisely in the COVID-19 Era: Preventing Harm to Healthcare Workers. J Hosp Med. 2020;15(6):360-362.
- 20. Choosing Wisely Australia. Pandemic guidance for clinicians. Erişim Tarihi: 23.12.2021. https://www.choosingwisely.org.au/resources/health-professionals/choosing-wisely-australia-pandemic-guidance
- 21. The Collage of Family Physicians of Canada. Choosing Wisely Through Primary Care. Erişim tarihi: 23.12.2021. https://www.cfpc.ca/en/education-professional-development/practice-tools-guidelines/choosing-wisely-and-prevention-through-primary-car
- 22. Kimberly Wintemute. Post-COVID primary care reboot? Erişim Tarihi: 07.05.2020. https://www.cfp.ca/news/2020/05/07/5-07
- 23. Coronavirus disease (COVID-19) pandemic. World Health Organization. https://www.who.int/europe/emergencies/situations/covid-19
- 24. Prevention CfDCa. Evaluating and Caring for Patients with Post-COVID Conditions: Interim Guidance 2021 (updated June 14, 2021). https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/post-covid-index.html.
- 25. Romanello, Marina, et al. "The 2021 report of the Lancet Countdown on health and climate change: code red for a healthy future." The Lancet 398.10311 (2021): 1619-1662.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | DERLEME |
| Authors | |
| Publication Date | January 16, 2024 |
| Published in Issue | Year 2024 Volume: 46 Issue: 1 |