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Reasons for Overtreatment: Comment on “Too Little? Too Much? Primary Care Physicians' Views on US Health Care”

Reasons for Overtreatment: Comment on “Too Little? Too Much? Primary Care Physicians' Views on US... Among a nationally representative sample of primary care physicians, Sirovich and colleagues found that 2 in 5 reported that their own patients receive too much health care—tests and treatments that may result in overdiagnosis and drug-related adverse effects. Some of this self-acknowledged overtreatment appears to be driven by financial incentives, but inadequate time to spend with patients was also reported to increase testing and treatment, likely substituting for explanation and reassurance. As noted by O'Kane, limited experience, especially the experience of supporting a dying patient, is likely an additional reason for overly aggressive treatment. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Reasons for Overtreatment: Comment on “Too Little? Too Much? Primary Care Physicians' Views on US Health Care”

Archives of Internal Medicine , Volume 171 (17) – Sep 26, 2011

Reasons for Overtreatment: Comment on “Too Little? Too Much? Primary Care Physicians' Views on US Health Care”

Abstract

Among a nationally representative sample of primary care physicians, Sirovich and colleagues found that 2 in 5 reported that their own patients receive too much health care—tests and treatments that may result in overdiagnosis and drug-related adverse effects. Some of this self-acknowledged overtreatment appears to be driven by financial incentives, but inadequate time to spend with patients was also reported to increase testing and treatment, likely substituting for explanation and...
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Publisher
American Medical Association
Copyright
Copyright © 2011 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinternmed.2011.461
Publisher site
See Article on Publisher Site

Abstract

Among a nationally representative sample of primary care physicians, Sirovich and colleagues found that 2 in 5 reported that their own patients receive too much health care—tests and treatments that may result in overdiagnosis and drug-related adverse effects. Some of this self-acknowledged overtreatment appears to be driven by financial incentives, but inadequate time to spend with patients was also reported to increase testing and treatment, likely substituting for explanation and reassurance. As noted by O'Kane, limited experience, especially the experience of supporting a dying patient, is likely an additional reason for overly aggressive treatment.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 26, 2011

Keywords: primary care physicians

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