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停止过度治疗、过度诊断以及将“正常”医学化,以改善医疗保健结果。《希波克拉底的谎言:一本书》。

Stop Overtreatment, Overdiagnosis, and the Medicalization of "Normal" to Improve Health Care Outcomes. Hippocrasy: The Book.

出版信息

Arthroscopy. 2022 Aug;38(8):2361-2364. doi: 10.1016/j.arthro.2022.06.006.

DOI:10.1016/j.arthro.2022.06.006
PMID:35940733
Abstract

In the 21st century, physician adherence to the Hippocratic Oath "to treat the ill to the best of one's ability" may require improving our entire health care system. As a result of a wide range of problems, including but not limited to overtreatment, overdiagnosis, inattention to warmth and sympathy, and medicalizing normal, as well failure to attend to prevention, treating the problem, and recognizing what is not known, efficient care delivery and best outcomes may be compromised. A recent book, cleverly titled Hippocrasy: How Doctors Are Betraying Their Oath, courageously calls out evidence of hypocrisy in the health care status quo and, most importantly, includes proposals suggesting how health care might be improved. While the book would benefit from more balance and less bias, improving patient outcomes is a worthwhile goal that readers of Arthroscopy inevitably share.

摘要

在 21 世纪,医生遵守希波克拉底誓言“尽自己所能治疗病人”,可能需要改善我们整个医疗体系。由于一系列问题,包括但不限于过度治疗、过度诊断、不关注温暖和同情,以及将正常情况医学化,以及未能预防、治疗问题和认识到未知的问题,高效的护理服务和最佳的结果可能会受到影响。最近出版的一本名为《Hippocrasy:医生如何背叛自己的誓言》的书,勇敢地揭露了医疗现状中存在的虚伪证据,最重要的是,书中提出了一些建议,探讨如何改善医疗保健。虽然这本书可以从更多的平衡和更少的偏见中受益,但改善患者的治疗结果是一个有价值的目标,关节镜读者不可避免地会对此有所关注。

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Letter to the Editor: Editorial: Chance Encounters, Overdiagnosis, and Overtreatment.致编辑的信:社论:偶然发现、过度诊断与过度治疗。
Clin Orthop Relat Res. 2022 Dec 1;480(12):2459-2460. doi: 10.1097/CORR.0000000000002429. Epub 2022 Sep 22.