Choosing Wisely Deimplementation Framework

Choosing Wisely Deimplementation Framework

D and/or I:
The focus on dissemination and/or implementation activities. D-only focuses on an active approach of spreading evidence-based interventions to target audience via determined channels using planned strategies. D=I, D>I, and I>D means there is some focus on both dissemination and implementation. I-only focuses on process of putting to use or integrating evidence-based interventions within a setting.


Socio-Ecological Levels:
The level of the framework at which the model operates. Individual includes personal characteristics; Organization includes hospitals, service organizations, and factories; Community includes local government and neighborhoods; System includes hospital systems and government; Policy includes changes in policy.


Number of Times Cited:
The # of times the original publication for the model was cited as indicated by Google Scholar since 2016.


Field of Origin:
The field of study in which the model originated.

Dissemination and Implementation

Whether the model is for the use of practitioners and/or researchers.

Practitioner and Researcher

These are ratings given by users of the site.

The original publication(s) of the model.

Grimshaw JM, Patey AM, Kirkham KR, et al. De-implementing wisely: developing the evidence base to reduce low-value care. BMJ Quality & Safety 2020;29:409-417.

Citations of studies that have used the model as an outline for their study.

Kastner et al. An Idea Worth Sustaining: Evaluation of the sustainability potential of Choosing Wisely across Ontario Community Hospitals and Family Health Teams. 27 Aug. 2020 DOI: 10.21203/ Website:

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