L’OSSERVATORIO   

La Rivista Italiana della Medicina di Laboratorio 2020 Settembre;16(3):141-7

DOI: 10.23736/S1825-859X.20.00063-8

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: Italian

Slow Medicine/Choosing Wisely Italy and Laboratory Medicine

Sandra VERNERO ✉

Slow Medicine/Choosing Wisely Italy, Torino, Italia

Slow Medicine, a network of health professionals and citizens that promotes a measured, respectful and equitable medicine, launched in December 2012 the campaign “Doing more does not mean doing better-Choosing Wisely Italy” similar to Choosing Wisely (CW) USA. Italian professional societies and associations were invited to identify unnecessary tests, treatments and procedures to discuss with patients and citizens. To date 46 professional societies and associations of physicians, nurses, pharmacists and physiotherapists have joined the CW Italy campaign and 250 recommendations have been defined. The Italian Society of Clinical Pathology and Laboratory Medicine (SIPMeL) has developed a total of 15 recommendations divided into three lists, one from the Endocrinology and Metabolic Diseases Study Group, one general and one from the Autoimmune Diseases Study Group. Further recommendations regarding Laboratory Medicine have been defined by SIBioC, SIGU, CReI and many other professional societies. The recent development of the CW Italy App and of the new website has allowed the introduction of filter functions for an easier use of the recommendations: the “type of practice” filter allows for example to identify all 48 recommendations that concern laboratory tests. The next challenges of CW Italy, also pursued within the CW international movement including 25 countries on 5 continents, are now represented by a greater diffusion of the recommendations, the assessment of their impact as well as their implementation.

KEY WORDS: Appropriateness; Slow Medicine; Choosing Wisely; Laboratory Medicine; Implementation