Gamstätter T
Deutsche Gesellschaft für Innere Medizin e. V. (DGIM), Irenenstr. 1, 65189, Wiesbaden, Deutschland.
Internist (Berl). 2021 Apr;62(4):343-353. doi: 10.1007/s00108-021-00957-7. Epub 2021 Feb 13.
High-quality medical care including the concepts of "patient-centered medicine" and "precision medicine" imply medical awareness of measures that are "too much" and thus not appropriate for certain patients in a certain context. Physicians occupy a central role as stewards of limited social resources. Numerous influencing factors can cause a cascading into medical overuse. How to identify and avoid overuse? When is "less medicine" the better medicine for an individual patient?
包括“以患者为中心的医学”和“精准医学”概念在内的高质量医疗意味着对某些情况下对某些患者而言“过度”因而不合适的医疗措施有所认识。医生作为有限社会资源的管理者发挥着核心作用。众多影响因素可能导致医疗过度使用的连锁反应。如何识别并避免过度使用？对于个体患者而言，何时“少用药”才是更好的治疗方法？
