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Overmedicalization

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https://www.readbyqxmd.com/read/27756402/born-in-brazil-shining-a-light-for-change
#1
Maria Regina Torloni, Ana Pilar Betrán, José M Belizán
The Birth in Brazil study is the largest national hospital-based survey in Brazil regarding birth practices. Conducted in 2011-2012, it collected information from 266 public and private healthcare facilities and interviewed nearly 24,000 postpartum women. It is also the latest effort to map out how labor and delivery are managed in this county in the 21st century. The journal Reproductive Health has published a supplement including 10 articles presenting the results of a series of analyses using this valuable resource...
October 17, 2016: Reproductive Health
https://www.readbyqxmd.com/read/26821201/the-new-holism-p4-systems-medicine-and-the-medicalization-of-health-and-life-itself
#2
Henrik Vogt, Bjørn Hofmann, Linn Getz
The emerging concept of systems medicine (or 'P4 medicine'-predictive, preventive, personalized and participatory) is at the vanguard of the post-genomic movement towards 'precision medicine'. It is the medical application of systems biology, the biological study of wholes. Of particular interest, P4 systems medicine is currently promised as a revolutionary new biomedical approach that is holistic rather than reductionist. This article analyzes its concept of holism, both with regard to methods and conceptualization of health and disease...
June 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/26586148/-overmedicalization-when-too-much-medicine-harms
#3
T Hanslik, A Flahault
Overmedicalization refers to non-validated medical practices, with no clear benefits, potentially harmful and therefore unnecessarily costly. Awareness is growing with respect to this serious public health problem. Permanent expansion of diagnostic or therapeutic interventions, disease mongering, inadequate management of diagnostic uncertainty, conflict of interest or lack of commitment by physicians and patients in shared decision making. Overmedicalization is made possible by a lack of training of health professionals and users on medical decision process...
March 2016: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/26372087/motivations-challenges-and-attitudes-to-self-management-in-kidney-transplant-recipients-a-systematic-review-of-qualitative-studies
#4
REVIEW
Nathan J Jamieson, Camilla S Hanson, Michelle A Josephson, Elisa J Gordon, Jonathan C Craig, Fabian Halleck, Klemens Budde, Allison Tong
BACKGROUND: Kidney transplantation offers better outcomes compared to dialysis, but requires patients to adhere to an ongoing and complex self-management regimen. Medication nonadherence remains a leading cause of transplant loss, and inadequate self-management undermines transplantation and other health outcomes. We aimed to describe kidney transplant recipients' motivations, challenges, and attitudes toward self-management. STUDY DESIGN: Systematic review and thematic synthesis of qualitative studies...
March 2016: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/26340400/the-difficult-choice-of-not-doing-comment-on-quaternary-prevention-an-answer-of-family-doctors-to-overmedicalization
#5
COMMENT
Giorgio Visentin
The article of Marc Jamoulle shows the importance of the contribution of general practitioners (GPs) in improving the quality and the efficiency of the health systems. Starting from the concept of quaternary prevention for reducing excessive costs in the preventive procedures, he suggests a change of paradigm in every daily activity of the GP in order to have a stronger ethical approach to the patient. This means spending more time in the consultation in order to better understand her/his real needs and share a common decision for minimizing the costs and solving the patient's problems in agreement with her/his believes and values...
August 2015: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/26340399/quaternary-prevention-and-the-challenges-to-develop-a-good-practice-comment-on-quaternary-prevention-an-answer-of-family-doctors-to-overmedicalization
#6
COMMENT
Hamilton Wagner
The article analyzes literature problems using as a parameter the quaternary prevention concept, introducing guidelines to have good shared decisions that avoid overdiagnosis and overtreatment and improve the quality of life. The author proposes a four-step approach: reliable evidence, awareness about populations profile, independent research analysis, and an understandable format by ordinary people.
August 2015: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/25674569/quaternary-prevention-an-answer-of-family-doctors-to-overmedicalization
#7
Marc Jamoulle
In response to the questioning of Health Policy and Management (HPAM) by colleagues on the role of rank and file family physicians in the same journal, the author, a family physician in Belgium, is trying to highlight the complexity and depth of the work of his colleagues and their contribution to the understanding of the organization and economy of healthcare. It addresses, in particular, the management of health elements throughout the ongoing relationship of the family doctor with his/her patients. It shows how the three dimensions of prevention, clearly included in the daily work, are complemented with the fourth dimension, quaternary prevention or prevention of medicine itself, whose understanding could help to control the economic and human costs of healthcare...
February 2015: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/25064013/demand-and-supply-factors-affecting-the-rising-overmedicalization-of-birth-in-india
#8
Tiziana Leone
OBJECTIVE: To understand the interaction between health systems and individual factors in determining the probability of a cesarean delivery in India. METHODS: In a retrospective study, data from the 2007-2008 District Level Household and Facility Survey was used to determine the risk of cesarean delivery in six states (Punjab, Delhi, Maharashtra, Andhra Pradesh, Kerala, and Tamil Nadu). Multilevel modeling was used to account for district and community effects...
November 2014: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/23995426/gastroesophageal-reflux-in-the-21st-century
#9
REVIEW
David Forbes, Alicia Lim, Madhur Ravikumara
PURPOSE OF REVIEW: Gastroesophageal reflux (GER) remains a common, challenging problem for clinicians, with differentiation of normal development from disease a particular issue. This review updates clinicians on advances in diagnosis of GER, relationship to other problems, and current practice in management. RECENT FINDINGS: Development and understanding of multichannel intraluminal impedance-pH monitoring has given insights into the relationship of GER to symptoms...
October 2013: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/23969784/expanding-the-screening-for-diabetes-in-pregnancy-overmedicalization-or-the-right-thing-to-do
#10
EDITORIAL
George R Saade
No abstract text is available yet for this article.
August 2013: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/23514321/advancing-critical-care-time-to-kiss-the-right-frog
#11
REVIEW
Mervyn Singer
The greatest advances in critical care over the past two decades have been achieved through doing less to the patient. We have learnt through salutary experience that our burgeoning Master-of-the-Universe capabilities and the oh-so-obvious stratagems instilled in us from youth were often ineffective or even deleterious. This re-education process, however, is far from complete. We are now rightly agonizing over the need for better characterization of pathophysiology, earlier identification of disease processes and a more directed approach to therapeutic intervention...
2013: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/21708965/seniors-overmedicalized-experts-say
#12
Wendy Glauser
No abstract text is available yet for this article.
August 9, 2011: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/20502599/which-new-approaches-to-tackling-neglected-tropical-diseases-show-promise
#13
Jerry M Spiegel, Shafik Dharamsi, Kishor M Wasan, Annalee Yassi, Burton Singer, Peter J Hotez, Christy Hanson, Donald A P Bundy
This PLoS Medicine Debate examines the different approaches that can be taken to tackle neglected tropical diseases (NTDs). Some commentators, like Jerry Spiegel and colleagues from the University of British Columbia, feel there has been too much focus on the biomedical mechanisms and drug development for NTDs, at the expense of attention to the social determinants of disease. Burton Singer argues that this represents another example of the inappropriate "overmedicalization" of contemporary tropical disease control...
May 2010: PLoS Medicine
https://www.readbyqxmd.com/read/18852611/overmedicalization-in-developmental-behavioral-pediatrics
#14
Neil L Schechter
No abstract text is available yet for this article.
October 2008: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/16872512/is-motivation-enough-responsiveness-patient-centredness-medicalization-and-cost-in-family-practice-and-conventional-care-settings-in-thailand
#15
Yongyuth Pongsupap, Wim Van Lerberghe
BACKGROUND: In Thailand, family practice was developed primarily through a small number of self-styled family practitioners, who were dedicated to this professional field without having benefited from formal training in the specific techniques of family practice. In the context of a predominantly hospital-based health care system, much depends on their personal motivation and commitment to this area of medicine. The purpose of this paper is to compare the responsiveness, degree of patient-centredness, adequacy of therapeutic decisions and the cost of care in 37 such self-styled family practices, i...
2006: Human Resources for Health
https://www.readbyqxmd.com/read/16030489/backpacks-and-spinal-disorders-in-school-children
#16
G Cardon, F Balagué
The interest on backpacks, particularly with regard to their potential unfavourable effect on spinal disorders in school children, has dramatically increased during the last years. The aim of the present study was to look critically at the recent publications and to qualify some ''common sense-based rules''. In recent studies no or weak associations between spinal disorders in children and backpack use could be identified, which is related to the methodology of the studies. From reviewing the biomechanical and physiological effects of backpack use, it was concluded that there is evidence that carrying a heavy backpack results in trunk forward lean and that there are indications that backpack use can increase metabolic cost and alter gait kinetics in youngsters...
March 2004: Europa Medicophysica
https://www.readbyqxmd.com/read/15814177/aids-race-and-the-limits-of-science
#17
Wende Elizabeth Marshall
In the US, HIV is understood as the virus that causes AIDS, the root of a disease syndrome perceived to indicate an immune system that has ceased to function. These understandings reflect the unquestioned hegemony of Euro/American scientific knowledge, a hegemony that precludes alternative interpretations of life and death, health and disease. This paper argues that HIV/AIDS is more complicated than biomedicine allows, and that the "overmedicalization" of treatment and prevention efforts obscures the significant socio-cultural and political-economic realities that shape the global pandemic, including conceptions of race...
June 2005: Social Science & Medicine
https://www.readbyqxmd.com/read/12834953/quality-of-care-in-institutionalized-deliveries-the-paradox-of-the-dominican-republic
#18
S Miller, M Cordero, A L Coleman, J Figueroa, S Brito-Anderson, R Dabagh, V Calderon, F Cáceres, A J Fernandez, M Nunez
OBJECTIVES: To better understand the paradox in the Dominican Republic of a relatively high maternal mortality ratio despite nearly universal institutionalized deliveries with trained attendants, a rapid assessment using an adaptation of the strategic assessment method was conducted. METHODS: A multi-disciplinary team reviewed national statistics and hospital records, inventoried facilities, and observed peripartum client-provider interactions at 14 facilities. RESULTS: The major referral hospitals, where more than 40% of births in the country occur, were overcrowded and understaffed, with inexperienced residents overseeing care provided by medical students, interns and nurses...
July 2003: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/12735409/do-antenatal-classes-benefit-the-mother-and-her-baby
#19
A Spinelli, G Baglio, S Donati, M E Grandolfo, J Osborn
OBJECTIVE: To examine the characteristics of women attending antenatal classes and evaluate the effects of these classes on mothers' and babies' health. METHODS: A population-based observational study on care during pregnancy, delivery and in the postnatal period was carried out in 1995-96. A total of 9004 women resident in 13 regions of Italy who delivered in a 4-month period were interviewed. The outcomes studied were attendance at antenatal classes, Cesarean section, bottle feeding, satisfaction with the experience of childbirth, knowledge of contraception, breast feeding and baby care...
February 2003: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/11791083/hormones-and-the-health-of-women-past-present-and-future-keynote-address
#20
Elizabeth Barrett-Connor
The past and possible future roles for hormone use to prevent or encourage pregnancy and to manage or prevent menopause are considered. Beginning in the 1880s, gonadal extracts were used for 50 years to improve health and vigor; evidence for the benefit of these extracts was lacking. Oral contraceptives revolutionized women's lives in the 1960s but had side effects unsuspected until after marketing. Hormone replacement therapy, used for 50 years without large clinical trials of disease outcomes, now proves to have rather similar side effects...
January 2002: Menopause: the Journal of the North American Menopause Society
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