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本文引用的文献

1
Undiagnosing to prevent overprescribing.未诊断即预防过度开药。
Maturitas. 2019 May;123:67-72. doi: 10.1016/j.maturitas.2019.02.010. Epub 2019 Feb 27.
2
Health literacy in a population-based sample of Australian women: a cross-sectional profile of the Geelong Osteoporosis Study.基于人群的澳大利亚女性健康素养研究:基隆骨质疏松研究的横断面分析。
BMC Public Health. 2018 Jul 13;18(1):876. doi: 10.1186/s12889-018-5751-8.
3
People's attitudes, beliefs, and experiences regarding polypharmacy and willingness to Deprescribe.人们对多药治疗的态度、信念和经验,以及对减药的意愿。
J Am Geriatr Soc. 2013 Sep;61(9):1508-14. doi: 10.1111/jgs.12418. Epub 2013 Aug 26.
4
Sertraline or mirtazapine for depression in dementia (HTA-SADD): a randomised, multicentre, double-blind, placebo-controlled trial.舍曲林或米氮平治疗痴呆相关抑郁症(HTA-SADD):一项随机、多中心、双盲、安慰剂对照试验。
Lancet. 2011 Jul 30;378(9789):403-11. doi: 10.1016/S0140-6736(11)60830-1. Epub 2011 Jul 19.

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.

DOI:10.1016/j.crwh.2019.e00133
PMID:31384565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6664263/
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。