1. Reforming disease definitions: a new primary care led, people-centred approach
- Author
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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, Moynihan Ray, Centre for Research in Evidence Based Practice, Bond University, Gold Coast, Queensland, Brodersen John, University of Copenhagen, Heath Iona, Royal College of General Practitioners, Johansson Minna, Cochrane Sweden, Lund, Kuehlein Thomas, Universitätsklinikum Erlangen, Erlangen, Minué-Lorenzo Sergio, Andalusian School of Public Health, Petursson Halfdan, Norwegian University of Science and Technology, Pizzanelli Miguel, Universidad de la República. Facultad de Medicina, Reventlow Susanne, University of Copenhagen, Sigurdsson Johann, Nordic Federation of General Practice, Stavdal Anna, Wonca World, and Treadwell Julian, University of Oxford
- Subjects
ATENCIÓN DIRIGIDA AL PACIENTE ,DIAGNÓSTICO ,REFORMA DE LA ATENCIÓN DE SALUD ,ATENCIÓN PRIMARIA DE SALUD - Abstract
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.
- Published
- 2019