Alt-Epping B
Klinik für Palliativmedizin, Universitätsmedizin Göttingen, Georg-August-Universität, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
Internist (Berl). 2017 Jun;58(6):575-579. doi: 10.1007/s00108-017-0244-x.
In addition to an overuse of unnecessary or no longer indicated diagnostic or therapeutic procedures at the end of life in the sense of overtreatment, there is often also a lack of therapeutic awareness in terms of a healthcare deficit, for example concerning the recognition and treatment of symptoms and complex burden of the disease. Sticking closely to the methodology of the German S3 "Palliative Medicine" guideline, the Choosing wisely recommendations of the German Society for Palliative Medicine address various examples of over- and underuse of healthcare services and treatment at the end of life, and thus also mirror basic principles of palliative medical care.
除了在生命末期过度使用不必要或不再适用的诊断或治疗程序（即过度治疗）外，在医疗保健不足方面往往也缺乏治疗意识，例如在识别和治疗症状以及疾病的复杂负担方面。德国姑息医学协会的“明智选择”建议严格遵循德国S3“姑息医学”指南的方法，列举了生命末期医疗服务和治疗过度使用和使用不足的各种例子，从而也反映了姑息医疗护理的基本原则。
