Overdiagnosis paradigm: Not suitable for decreasing the overuse of antibiotics
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Overdiagnosis paradigm : Not suitable for decreasing the overuse of antibiotics. / Cordoba, Gloria; Llor, Carl.
In: BMJ Evidence-Based Medicine, Vol. 24, No. 5, 01.10.2019, p. 174-176.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Overdiagnosis paradigm
T2 - Not suitable for decreasing the overuse of antibiotics
AU - Cordoba, Gloria
AU - Llor, Carl
PY - 2019/10/1
Y1 - 2019/10/1
N2 - This paper summarises the discussion during the workshop on - Overdiagnosis and overtreatment of infectious diseases in general practice. How and where to break the endless loop?' The workshop was organised as part of the overdiagnosis conference carried out in August 2018 in Copenhagen, Denmark. During the workshop, participants from all over the world reflected on the challenges of embracing the overdiagnosis paradigm as a tool to advance understanding and to find solutions to the unnecessary use of antibiotics in primary health care. It was concluded that the narrow view of the overdiagnosis paradigm does not provide theoretical resources to address the problem of the inherent connection between diagnostic error and treatment decision. In contrast to the overdiagnosis paradigm, the too much medicine paradigm is an umbrella term suitable to frame actions that recognise the complexity of the decision-making process during the consultation and its impact on overtreatment.
AB - This paper summarises the discussion during the workshop on - Overdiagnosis and overtreatment of infectious diseases in general practice. How and where to break the endless loop?' The workshop was organised as part of the overdiagnosis conference carried out in August 2018 in Copenhagen, Denmark. During the workshop, participants from all over the world reflected on the challenges of embracing the overdiagnosis paradigm as a tool to advance understanding and to find solutions to the unnecessary use of antibiotics in primary health care. It was concluded that the narrow view of the overdiagnosis paradigm does not provide theoretical resources to address the problem of the inherent connection between diagnostic error and treatment decision. In contrast to the overdiagnosis paradigm, the too much medicine paradigm is an umbrella term suitable to frame actions that recognise the complexity of the decision-making process during the consultation and its impact on overtreatment.
KW - general medicine
KW - infectious diseases
KW - primary care
UR - http://www.scopus.com/inward/record.url?scp=85061557314&partnerID=8YFLogxK
U2 - 10.1136/bmjebm-2018-111146
DO - 10.1136/bmjebm-2018-111146
M3 - Journal article
C2 - 30745411
AN - SCOPUS:85061557314
VL - 24
SP - 174
EP - 176
JO - BMJ Evidence-Based Medicine
JF - BMJ Evidence-Based Medicine
SN - 2515-446X
IS - 5
ER -
ID: 242609149