Segura Benedicto Andreu, Giner Ruiz Vicente
Departamento de Ciencias Experimentales y de Salud, Universidad Pompeu Fabra, Barcelona, España.
Aten Primaria. 2013 May;45(5):274-7. doi: 10.1016/j.aprim.2012.10.007. Epub 2012 Dec 4.
One of the main problems of our health care system is its excessive use. The most evident results of this misuse are the waste of resources and the iatrogenic consequences that are not justified by any expectations in health improvement. Among the possible causes of this inappropriate use, the trivialization of medical practice should be emphasized. This entails not only a loss of respect and consideration, but facilitates and even stimulates reckless use. Although patients and health care workers are both responsible for this recklessness, politicians and health care managers should be held responsible more so. Without a real emancipation allowing health care users and the population to control the factors that determine their health, it is unlikely that the inappropriate use of health resources and its associated iatrogenic consequences will be reduced.
我们医疗保健系统的主要问题之一是其过度使用。这种滥用最明显的后果是资源浪费以及医源性后果,而这些后果在改善健康方面并无任何合理预期。在这种不当使用的可能原因中,应强调医疗实践的简单化。这不仅意味着失去尊重和关怀,还助长甚至刺激了不计后果的使用。尽管患者和医护人员都应对这种鲁莽行为负责,但政治家和医疗保健管理者更应承担责任。如果没有真正的解放,让医疗保健使用者和民众能够控制决定他们健康的因素,就不太可能减少卫生资源的不当使用及其相关的医源性后果。