RT Journal
A1 Elshaug AG,  McWilliams J, Landon BE
T1 THe value of low-value lists
JF JAMA
JO JAMA
YR 2013
FD February 27
VO 309
IS 8
SP 775
OP 776
DO 10.1001/jama.2013.828
UL http://dx.doi.org/10.1001/jama.2013.828
AB 
England's National Institute for Health and Clinical Excellence (NICE) commenced a formal agenda in this area in 2005.1 The most recent initiative garnering attention is Choosing Wisely, a US campaign led by the ABIM Foundation.2 Other countries are implementing similar approaches.3 A major challenge faced by these initiatives has been how to identify and prioritize candidate services for consideration in a reasoned and transparent manner. Today, several lists compiled by prominent organizations have identified numerous services as potentially low value in certain clinical circumstances (eTable).1- 3 The challenge facing payers and health care service providers such as physicians and hospitals is to develop and implement strategies to reduce the use of services that are identified in these lists, many of which are discretionary, if not potentially harmful.