Reforming disease definitions: a new primary care led, people-centred approach

Moynihan, Ray - Brodersen, John - Heath, Iona - Johansson, Minna - Kuehlein, Thomas - Minué-Lorenzo, Sergio - Petursson, Halfdan - Pizzanelli, Miguel - Reventlow, Susanne - Sigurdsson, Johann - Stavdal, Anna - Treadwell, Julian

Resumen:

Expanding disease definitions are causing more and more previously healthy people to be labelled as diseased, contributing to the problem of overdiagnosis and related overtreatment. Often the specialist guideline panels which expand definitions have close tis to industry and do not investigate the harms of defining more people as sick. Responding to growing calls to address these problems, an international group of leading researchers and clinicians is proposing a new way to set diagnostic thresholds and mark the boundaries of condition definitions, to try to tackle a key driver of overdiagnosis and overtreatment. The group proposes new evidence-informed principles, with new process and new people constituting new multi-disciplinary panels, free from financial conflicts of interest.


Detalles Bibliográficos
2019
ATENCIÓN PRIMARIA DE SALUD
DIAGNÓSTICO
ATENCIÓN DIRIGIDA AL PACIENTE
REFORMA DE LA ATENCIÓN DE SALUD
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/27245
http://dx.doi.org/10.1136/bmjebm-2019-111219
Acceso abierto
Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)