van der Horst Henriëtte E
Amsterdam UMC, locatie VUmc, afd. Huisartsgeneeskunde en Ouderengeneeskunde.
Contact: H.E. van der Horst (
Ned Tijdschr Geneeskd. 2018 Dec 5;162:D3541.
Most people claim that health is an important prerequisite for a happy life. Our society puts much effort into promoting a healthy lifestyle, prevention and timely risk detection. After all, prevention is better than cure. The increased attention to health and the strong focus on prevention, risk reduction and risk avoidance have their downsides, as Ivan Illich already pointed out in the nineteen-seventies. Overdiagnosis, overtreatment and the transformation of many everyday complaints and phenomena into abnormalities lead to medicalisation. In 2013, this trend was reason for the BMJ to start their 'Too much medicine' campaign. Steering between too much medicine and too little medicine requires helmsmanship from doctors; correcting unrealistic expectations, alleviating unnecessary health worries and promoting resilience are all important in the promotion of normalisation.
大多数人声称健康是幸福生活的重要前提。我们的社会在促进健康的生活方式、预防和及时发现风险方面投入了大量精力。毕竟，预防胜于治疗。正如伊万·伊里奇在20世纪70年代已经指出的那样，对健康的日益关注以及对预防、降低风险和避免风险的强烈关注也有其不利之处。过度诊断、过度治疗以及将许多日常不适和现象转变为异常情况会导致医学化。2013年，这一趋势成为《英国医学杂志》发起“过度医疗”运动的原因。在过度医疗和医疗不足之间把握方向需要医生的高超技艺；纠正不切实际的期望、减轻不必要的健康担忧以及促进恢复力在推动正常化方面都很重要。
