Abstract
Background
The overuse of diagnostic and therapeutic modalities has become an issue in the field
of emergency medicine. The health care system of Japan aims to provide the most appropriate
quality and quantity of care at the right price, while focusing on patient value.
The Choosing Wisely® campaign was launched in Japan and other countries.
Objective
In this article, recommendations were discussed to improve the field of emergency
medicine based on the state of the Japanese health care system.
Methods
The modified Delphi method, a consensus-building method, was used in this study. The
final recommendations were developed by a working group of 20 medical professionals,
students, and patients, consisting of members of the emergency physician electronic
mailing list.
Results
From the 80 candidates recommended and excessive actions gathered, nine recommendations
were formulated after two Delphi rounds. The recommendations included the suppression
of excessive behavior and the implementation of appropriate medical treatment, like
rapid pain relief and the application of ultrasonography during central venous catheter
placement.
Conclusions
This study formulated recommendations to improve the field of Japanese emergency medicine,
based on the feedback of patients and health care professionals. The nine recommendations
will be helpful for all people involved in emergency care in Japan because they have
the potential to prevent the overuse of diagnostic and therapeutic modalities, while
maintaining the appropriate quality of patient care.
Keywords
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Article info
Publication history
Published online: January 30, 2023
Accepted:
January 6,
2023
Received in revised form:
December 9,
2022
Received:
August 12,
2022
Footnotes
RECEIVED: 12 August 2022; FINAL SUBMISSION RECEIVED: 9 December 2022; ACCEPTED: 6 January 2023
Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.
