E-ISSN 2617-9784 | ISSN 2617-1791
 

Original Research (Original Article) 


Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan

Sanniya Khan Ghauri , Tabinda Abbasi, Abdus Salam Khan, Khawaja Junaid Mustafa, Faiza Shah, Dania Dawood.

Abstract
Objective: To assess perspectives of Pakistani emergency physicians regarding the American College of Emergency Physician’s Choosing Wisely Recommendations

Methodology: Physicians working in the emergency department of three hospitals in Pakistan were included in this cross-sectional study. The interviewer-administered study questionnaire was formulated as per ACEPs Choosing Wisely recommendations for emergency physicians. The study questionnaire was validated, and informed written consent was obtained from all the study participants. Ethical approval was taken from the ethical review board of Poonch Medical College, Azad Kashmir, Pakistan. Data was analyzed by SPSS v23.0 and was presented in tables and charts.

Results: Out of 70 emergency physicians, 63 responded and were included in the study (response rate = 90%). More than two-thirds of the physicians (68.3%) had never heard of Choosing Wisely recommendations and more than three-quarters (77.8%) had never discussed it with anybody. Eighteen physicians (28.6%) who knew about it had heard about it from their colleagues. Physician’s beliefs about Choosing Wisely campaign were as follows: 28.6% believed it will strongly increase patient safety, 39.7% believed it will somewhat increase the quality of patient care, and 57.1% believed it will have no impact on physician’s salary. The most important reason (38.1%) behind ordering a low-value investigation is due to fulfillment of patients request.

Conclusion: This study identified emergency physicians’ low level of familiarity with Choosing Wisely recommendations. With the ever-increasing national health cost, issues of drug resistance and hospital acquired infections, it is important to optimize the health care and expenditure. Educating physicians and patients with Choosing Wisely recommendations may decrease unnecessary investigations and procedures, over use of antibiotics and improve doctor-patient communication.

Key words: Choosing wisely, emergency physician, Pakistan


 
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How to Cite this Article
Pubmed Style

SKG, Abbasi T, Khan AS, Mustafa KJ, Shah F, Dawood D, . Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan. SAJEM. 2019; 2(1): 03-11. doi:10.5455/sajem.20104


Web Style

SKG, Abbasi T, Khan AS, Mustafa KJ, Shah F, Dawood D, . Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan. http://www.sajem.org/?mno=26545 [Access: September 23, 2019]. doi:10.5455/sajem.20104


AMA (American Medical Association) Style

SKG, Abbasi T, Khan AS, Mustafa KJ, Shah F, Dawood D, . Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan. SAJEM. 2019; 2(1): 03-11. doi:10.5455/sajem.20104



Vancouver/ICMJE Style

SKG, Abbasi T, Khan AS, Mustafa KJ, Shah F, Dawood D, . Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan. SAJEM. (2019), [cited September 23, 2019]; 2(1): 03-11. doi:10.5455/sajem.20104



Harvard Style

, S. K. G., Abbasi, . T., Khan, . A. S., Mustafa, . K. J., Shah, . F., Dawood, . D. & (2019) Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan. SAJEM, 2 (1), 03-11. doi:10.5455/sajem.20104



Turabian Style

, Sanniya Khan Ghauri, Tabinda Abbasi, Abdus Salam Khan, Khawaja Junaid Mustafa, Faiza Shah, Dania Dawood, and . 2019. Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan. South Asian Journal of Emergency Medicine, 2 (1), 03-11. doi:10.5455/sajem.20104



Chicago Style

, Sanniya Khan Ghauri, Tabinda Abbasi, Abdus Salam Khan, Khawaja Junaid Mustafa, Faiza Shah, Dania Dawood, and . "Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan." South Asian Journal of Emergency Medicine 2 (2019), 03-11. doi:10.5455/sajem.20104



MLA (The Modern Language Association) Style

, Sanniya Khan Ghauri, Tabinda Abbasi, Abdus Salam Khan, Khawaja Junaid Mustafa, Faiza Shah, Dania Dawood, and . "Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan." South Asian Journal of Emergency Medicine 2.1 (2019), 03-11. Print. doi:10.5455/sajem.20104



APA (American Psychological Association) Style

, S. K. G., Abbasi, . T., Khan, . A. S., Mustafa, . K. J., Shah, . F., Dawood, . D. & (2019) Choosing Wisely Campaign: Perspectives of Emergency Physicians of Pakistan. South Asian Journal of Emergency Medicine, 2 (1), 03-11. doi:10.5455/sajem.20104