de Wit Niek J, Engelfriet Peter
UMC Utrecht, Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde.
Contact: N.J. de Wit (
Ned Tijdschr Geneeskd. 2018 Dec 5;162:D3545.
Over recent years there has been renewed focus on medicalisation. Amongst other things, this is the result of the realisation that expansion of the medical domain can also have undesirable effects. However, the line between justified medical interventions and overdiagnosis is difficult to draw. The first step in regaining control of undesirable medicalisation is to identify and quantify the processes behind it and the situations in clinical practice in which it may occur. In this article we discuss different types of medicalisation and, on the basis of this, we give an indication of the frequency with which medicalisation occurs. Finally, we discuss the mechanisms that facilitate medicalisation.
近年来，医学化再次成为关注焦点。其中一个原因是人们意识到医学领域的扩张也可能产生不良影响。然而，合理的医疗干预与过度诊断之间的界限很难划分。重新控制不良医学化的第一步是识别并量化其背后的过程以及临床实践中可能出现这种情况的情形。在本文中，我们讨论了不同类型的医学化，并据此指出医学化发生的频率。最后，我们讨论了促进医学化的机制。
