"Mapping the drivers of overdiagnosis to potential solutions" (re-)mapped to Hodges' model

individual

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INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

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group

the patient  Beliefs: “More is better,” “new is better,” “early is better,” “wants to know/screen”—even if currently healthy, imperative of possibility (we have to test because we can) overtreatment - emotional cost Ethics: medical awareness of benefits vs harms risk of overtreatment - as psycho-(somaticpathology)	the patient  the health system industry, professionals Rigorous assessment of impact of ever more precise tests and investigations Medicalisation of life;  fear of ageing, sickness, or death QUANTITY (less is more) Update medical curricula and -
culture - Beliefs: “More is better,” “new is better,” “early is better,” “wants to know - screen”—even if currently healthy, imperative of possibility (we have to test because we can) patients and the public awareness (social evolution of 'illness behaviour'?) QUALITY - outcomes overtreatment - social cost Role of social media	- continuing education   Ecological economics to frame overdiagnosis as overconsumption Application of the 'precautionary principle' (as adopted as a universal policy foundation?) industry, professionals medicolegal concerns regards  missing or delayed diagnosis overtreatment - economic cost

KEY:
drivers of overdiagnosis
solutions of overdiagnosis
 (I have overlapped these.)

The medicalisation of life also fits with Hodges' model and the concept of the 'health career'.

http://www.bmj.com/content/bmj/358/bmj.j3879.full.pdf

See also: BBC Radio 4 22 August 2017
Too Much Medicine? The Problem of Overtreatment

My source:

Dear List
Ray Moynihan, a member of our list, sent me the following email about his very important work on Overdiagnosis:
---------- Forwarded message ----------
From: Ray Moynihan
...
Hi Mohammad,
Just wondering if you wanted to send this to the email list/s you run - we've put a bit of work into it- and it may be of interested to many of the people on the list.

Dear colleagues,
This piece of BMJ Analysis, based on explicit search of literature, just out in BMJ this morning, may be of interest:
Mapping the drivers of overdiagnosis to potential solutions

http://www.bmj.com/content/358/bmj.j3879

Cheers, Ray

Mohammad Zakaria Pezeshki, M.D.
Associate Professor
Department of Community Medicine,
Tabriz Medical School, Golgasht Avenue, Tabriz, Iran,