Hiba Rehman
USA
Title: Choosing wisely- Innovations in cardiovascular diseases and current USA health care system objectives
Biography
Biography: Hiba Rehman
Abstract
Objectives: To systematically review the available guidelines on cardiovascular testing and their impact on health care system.
Introduction & Aim: According to an estimate, about 20%-30% of all health care spending is attributed to waste in health care. The providers contribute to a significant proportion of wasted health care dollars. This waste may be in the form of unnecessary radiological or laboratory investigation or new expensive medication or over- zealous investigative approach out of fear of legal action or law suits. With the growing health care cost in USA, national economy is under more strain. For this reason Choosing Wisely campaign came into action. The aim of Choosing Wisely campaign is to encourage discussions between providers and consumers regarding the care which a patient is going to get and to reach out and educate patients and their health care providers before going through the procedures on the basis of evidence, harm vs. benefit, duplicative or redundant test or procedure that patient already received and its necessity.
Methodology: We performed a literature search from 2009-2015, using PubMed, Medline, CENTRAL, EMBASE, Scopus, ISI, Regulatory Documents, Web of Science and manufacturers’ web clinical trial registries with multiple search terms. We reviewed guidelines from American Society of Nuclear Cardiology, American Society of Echocardiography, Society for Cardiovascular Magnetic Resonance, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography and American College of Physicians.
Conclusion: All guidelines have same recommendation of not performing testing or procedures which are unnecessary. Not following these guidelines, not only affects the economy of the USA but also causes unnecessary mental and physical harm to the patient in various ways, and is not best use of limited resources which can be put to a better use somewhere else.
