Authoritarianism and new war, 1929–1941

Newman, John Paul

doi:10.1017/cbo9781107707597.009

Yugoslavia in the Shadow of War 2015

DOI: 10.1017/cbo9781107707597.009

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Authoritarianism and new war, 1929–1941

John Paul Newman

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2016

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“…If not, the time would be better used for thinking and talking, something that patients value highly. 13,14 Otherwise, the notion of doing a test 'just in case' becomes the wrong side of the inverted U curve, which means that our patients are harmed. 13 Promoting clinical judgement reinforces the mantra that less is more, resulting in positively intended consequences.…”

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The inverted U curve and emergency medicine: Overdiagnosis and the law of unintended consequences

Fatovich

2016

Emerg Medicine Australasia

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We all think and assume that more is better, but unintended consequences can arise in a complex system. However, in our complex world, everything of consequence follows an inverted U curve. The inverted U curve helps us challenge our natural assumption that more is better. This leads us to the issue of overdiagnosis and the harms that result. Journals are now publishing lists of studies where more medical care caused harm. Changing diagnostic thresholds together with the fear of uncertainty by both patients and doctors has a synergistic and costly effect on the health system. The over-reliance on technology tends to supplant clinical judgement. This intervention bias promotes the overutilisation of diagnostic testing. What patients actually value is thinking doctors who talk to them. Promoting clinical judgement reinforces the mantra that less is more, resulting in positively intended consequences. This essay aims to be a thought-provoking commentary of our practice.

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confidence: 99%

The inverted U curve and emergency medicine: Overdiagnosis and the law of unintended consequences

Fatovich

2016

Emerg Medicine Australasia

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Authoritarianism and new war, 1929–1941

Cited by 1 publication

References 14 publications

The inverted U curve and emergency medicine: Overdiagnosis and the law of unintended consequences

The inverted U curve and emergency medicine: Overdiagnosis and the law of unintended consequences

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