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撤销诊断:修正病历以防止过度干预。

Undiagnosing: Correcting the medical record to prevent over-intervention.

作者信息

Hosking Sarah M, Etherton-Beer Christopher, Page Amy T

机构信息

Deakin University, School of Medicine, Geelong, VIC, Australia.

University of Western Australia, Western Australian Centre for Health and Ageing, Perth, WA, Australia.

出版信息

Case Rep Womens Health. 2019 Jun 28;23:e00133. doi: 10.1016/j.crwh.2019.e00133. eCollection 2019 Jul.

Abstract

•Over-diagnosis can lead to over-intervention and over-prescribing, particularly among older adults.•Undiagnosing is a strategy to review diagnostic labels and remove those that are unnecessary or no longer beneficial.•Undiagnosing relies on accurate and comprehensive medical records to inform a thorough review of diagnoses•Effective communication and collaborative decision making regarding undiagnosing are essential to ensure consumer centered care.

摘要

•过度诊断可能导致过度干预和过度开药,尤其是在老年人中。

•取消诊断是一种审查诊断标签并去除那些不必要或不再有益的诊断的策略。

•取消诊断依赖准确和全面的医疗记录来指导对诊断进行全面审查。

•关于取消诊断的有效沟通和共同决策对于确保以患者为中心的护理至关重要。

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