What Is an Overdiagnosis?

Excessive medical treatment refers to medical institutions or medical personnel who violate clinical medical norms and ethical standards and cannot truly increase the value of diagnosis and treatment for patients, but merely increase the consumption of medical resources for diagnosis and treatment. In other words, during the treatment process, improper, irregular, or even unethical medical tests, treatments, etc. that are conducted in isolation from the actual condition of the patient. Simply put, over-medicine is the act of diagnosing and treating more than the actual needs of the disease, including over-examination and over-treatment. Excessive medical treatment is not required for diagnosis and treatment, at least not for diagnosis and treatment. Over-treatment is contrary to morality and is prohibited by law and related systems.

Over medical

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Excessive medical treatment refers to medical institutions or medical personnel who violate clinical medical norms and ethical standards and cannot truly increase the value of diagnosis and treatment for patients, but merely increase the consumption of medical resources for diagnosis and treatment. In other words, during the treatment process, improper, irregular, or even unethical medical tests, treatments, etc. that are conducted in isolation from the actual condition of the patient. Simply put, over-medicine is the act of diagnosing and treating more than the actual needs of the disease, including over-examination,

Over-medical includes over-examination,

Although the definition of overtreatment is clear, it is very difficult to define in practice. Because clinical medicine is very complicated, the condition of each patient is different, even the same disease has different performance, and the treatment of the same disease in different periods is also different. Take a cold, for example, doing CT is over-medical, but if doing routine

Generally speaking, the basic criterion for over-medical judgment is: whether the diagnosis and treatment of the patient is generally better or hurt. In the treatment, it depends on the purpose of the doctor, whether the treatment has a preventive effect, whether it reduces the patient's pain, and whether it can prolong the patient's life. In addition, there are two additional conditions: whether the patient's financial ability can be sustained, whether the patient's psychology can be sustained, and whether the patient's rights can be reflected in the treatment.

(1) The diagnosis and treatment methods used exceed the basic needs of disease diagnosis and treatment, and do not conform to the laws and characteristics of the disease;

(2) Adopt non- "gold standard" diagnosis and treatment methods;

(3) Excessive consumption that has nothing to do with the basic diagnosis and treatment of diseases;

(4) The cost exceeded the personal, socioeconomic affordability and social development level at the time.

1. Economic reasons are the main reasons, such as the excessive marketization of medical care, the use of medicines to support doctors, the income of medical personnel linked to economic benefits, drug rebates, and billing commissions;

2. The reasons for the complexity of medicine itself and the level of doctor's diagnosis and treatment;

3. Reasons for laws, regulations and systems, such as: The Medical Accident Appraisal Law provides for the doctor's inversion system during the appraisal process, which may cause doctors to over-check patients. ^[1] According to reports, a survey in the United States showed Of the GPs, 98% admitted that they had added various laboratory tests and consultations in and out of the hospital during the medical process, and prescribed self-defense or other "defensive" items for patients. ^[2] The purpose of doctors' self-defense medical treatment is very clear, that is, "avoiding lawsuits."

4. Reasons for doctor's moral level are more common.

5. Other reasons, such as: tension between doctors and patients; unreasonable requirements of individual patients.