Literature DB >> 33580822

[The problem of medical overuse : Finding a definition and solutions].

T Gamstätter1.   

Abstract

High-quality medical care including the concepts of "patient-centered medicine" and "precision medicine" imply medical awareness of measures that are "too much" and thus not appropriate for certain patients in a certain context. Physicians occupy a central role as stewards of limited social resources. Numerous influencing factors can cause a cascading into medical overuse. How to identify and avoid overuse? When is "less medicine" the better medicine for an individual patient?

Entities:  

Keywords:  Health resources; Medicine and economics; Patient safety; Patient-centered care; Physicians’ role; Precision medicine; Ökonomie

Mesh：

Year:  2021        PMID： 33580822     DOI： 10.1007/s00108-021-00957-7

Source DB:  PubMed          Journal:  Internist (Berl)        ISSN： 0020-9554            Impact factor:   0.743


  58 in total

Review 1.  The morality of efficiency in health care--some uncomfortable implications.

Authors:  A J Culyer
Journal:  Health Econ       Date:  1992-04       Impact factor: 3.046

2.  Choosing wisely: helping physicians and patients make smart decisions about their care.

Authors:  Christine K Cassel; James A Guest
Journal:  JAMA       Date:  2012-04-04       Impact factor: 56.272

Review 3.  The ambiguous relationship between practice variation and appropriateness of care: an agenda for further research.

Authors:  A F Casparie
Journal:  Health Policy       Date:  1996-03       Impact factor: 2.980

4.  Physicians' views on defensive medicine: a national survey.

Authors:  Tara F Bishop; Alex D Federman; Salomeh Keyhani
Journal:  Arch Intern Med       Date:  2010-06-28

5.  Why the drug development pipeline is not delivering better medicines.

Authors:  Huseyin Naci; Alexander W Carter; Elias Mossialos
Journal:  BMJ       Date:  2015-10-23

Review 6.  Biologic interventions for fatigue in rheumatoid arthritis.

Authors:  Celia Almeida; Ernest H S Choy; Sarah Hewlett; John R Kirwan; Fiona Cramp; Trudie Chalder; Jon Pollock; Robin Christensen
Journal:  Cochrane Database Syst Rev       Date:  2016-06-06

Review 7.  The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality.

Authors:  M R Chassin; R W Galvin
Journal:  JAMA       Date:  1998-09-16       Impact factor: 56.272

8.  Avoiding overuse-the next quality frontier.

Authors:  Donald M Berwick
Journal:  Lancet       Date:  2017-01-09       Impact factor: 79.321

Review 9.  Evidence for overuse of medical services around the world.

Authors:  Shannon Brownlee; Kalipso Chalkidou; Jenny Doust; Adam G Elshaug; Paul Glasziou; Iona Heath; Somil Nagpal; Vikas Saini; Divya Srivastava; Kelsey Chalmers; Deborah Korenstein
Journal:  Lancet       Date:  2017-01-09       Impact factor: 79.321

10.  Decision aids that really promote shared decision making: the pace quickens.

Authors:  Thomas Agoritsas; Anja Fog Heen; Linn Brandt; Pablo Alonso-Coello; Annette Kristiansen; Elie A Akl; Ignacio Neumann; Kari Ao Tikkinen; Trudy van der Weijden; Glyn Elwyn; Victor M Montori; Gordon H Guyatt; Per Olav Vandvik
Journal:  BMJ       Date:  2015-02-10
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