Affiliation:
1. U.M.F. „Gr.T. Popa” , Iaşi
Abstract
Abstract
The authors discuss an important chapter of iatrogenic pathology – unneccessary medicine, by reviewing epidemiological aspects and financial impact and identifying such elements in no less than 10 areas: surgery, interventional medicine, diagnostic investigation, substitute procedures, preventive medicine, drug therapy, aesthetic shared medical appointments, surgery, unconventional medicine, medicine on political demand. We shall review the causes, motives and mechanisms of unnecessary medicine such as one’s hyperprudence to cover oneself with diagnosis arguments or to prevent potential complications through preventive therapies (defensive medicine), weak functionality of the institutionalized inspection bodies, onerous motivation. The respect for the fundamental principles of medical ethics (the primum non-nocere principle doubled by the principle of doing good), the use of practice guidelines, the proper functioning self-control mechanisms in exercising the medical profession, a different management of error and the existence of a consistent protective legislation for both the patient and doctor would be key-elements to avoiding unnecessary medicine.
Reference22 articles.
1. 1. Leape L. Unnecessary surgery. Ann Rev Public Health. 1992;13:363-383
2. 2. Leape LL. Error in medicine. JAMA. 1994 Dec 21;272(23):1851-7.
3. 3. Kohn LT, Corrigan JM, Donaldson MS, eds. 1999 Institute of Medicine(IOM) report :To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; “).
4. 4. Hettrich Carolyn, Mather III RC,. Sethi MK, Nunley RM, Jahangir AA, and the Washington Health Policy Fellows-The costs of defensive medicine-AAOS Now, 2015,9:7.
5. 5. Parenti CM, Lederle FA, Impola CL, Peterson LR. Reduction of unnecessary intravenous catheter use. Internal medicine house staff participate in a successful quality improvement project. Postgrad Med J 2004 80(939);
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献