Too much medicine: symptoms matter

Welch, H. Gilbert

doi:10.1136/bmj.l1454

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…In other words, the medical system can easily convince people with no symptoms that they need our help to ward off impending doom. 6 Hindsight, omission and availability biases, plus the illusion of control among patients and clinicians bolster the cultural expectation that healthy people need health care.…”

Section: And It Relates To What H Gilbertmentioning

confidence: 99%

“…Ivan Illich, PhD, called this the sickening of society or social iatrogenesis, and it relates to what H. Gilbert Welch, MD, calls anticipatory medicine. In other words, the medical system can easily convince people with no symptoms that they need our help to ward off impending doom . Hindsight, omission and availability biases, plus the illusion of control among patients and clinicians bolster the cultural expectation that healthy people need health care.…”

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The Important but Rarely Studied Cascade of Care

Mandrola

Morgan

2019

JAMA Netw Open

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Section: And It Relates To What H Gilbertmentioning

confidence: 99%

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confidence: 99%

The Important but Rarely Studied Cascade of Care

Mandrola

Morgan

2019

JAMA Netw Open

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Induced Demand in Cancer Diagnosis

et al. 2020

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Context: Supplier-induced demand (SID) is an essential concept in health economics related to the diagnosis of different types of cancer and related expenditures. The current review considered studies on induced demand in cancer diagnosis. Evidence Acquisition: This systematic review investigated the induced diagnosis of cancer in four well-known databases (Scopus, Science Direct, Web of Science, and PubMed) from January 1980 to July 2019 using the keywords “induced demand,” “cancer,” and “diagnosis”. References of the studies found through the original search were also considered for analysis. Results: No studies focused on SID in cancer diagnosis could be found, thus indicating a significant deficiency in the discussion of SID in cancer diagnosis studies. Therefore, the terms most relevant to the concept of SID in cancer diagnosis were examined. Finally, 24 factors were categorized into three groups: economic, socio-cultural, and structural. The majority of evidence for the probability of SID in cancer diagnosis is related to overdiagnosis or early diagnosis caused by unnecessary screening (57.14% of reviewed articles) and the neglect of clinical practice guidelines (42.8% of reviewed articles), mainly by diagnostic imaging. Conclusions: Research focused explicitly on SID in cancer diagnosis is needed. Moreover, economic, social, and structural reforms related to the factors that connect overuse, overdiagnosis, and unnecessary services to cancer diagnosis are required to control costs and harm and provide the best benefits to patients.

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Too much medicine: symptoms matter

Cited by 2 publications

References 5 publications

The Important but Rarely Studied Cascade of Care

The Important but Rarely Studied Cascade of Care

Induced Demand in Cancer Diagnosis

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