Complex Clinical Reasoning

A label too far: Overdiagnosis and medicalisation with Prof. Bjørn Hofmann

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This podcast episode evolves from the previous podcasts and covers topics such as:

  • distinguishing between the concepts of medicalisation and overdiagnosis and discusses their main drivers
  • how medicine, healthcare and health professionals have become ever more diligent in defining, detecting, preventing and treating disease; covering more ground than ever and how this can lead to the adverse situation of overdiagnosis
  • the positive and adverse effects of giving someone diagnosis
  • what Bjørn terms the ‘asymmetry of aversion’; meaning that for many health professionals it is worse to overlook something than to overdo something which may facilitate overdiagnosis
  • the role of AI and machine learning to address the crudeness and imprecision in some of our diagnostic labelling and processes
  • high- and low-value care and the role of healthcare economics on how readily we dip into the diagnostic toolkit and medical testing
  • how the expansion in the concept of disease (and diagnosis) has led to overdiagnosis and medicalisation
  • what we can do to reduce the detrimental expansion of disease and subsequent overdiagnosis

Resource details

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Contributed by: Complex Clinical Reasoning
Authored by: Bjorn Hofmann
Licence: More information on licences
Last updated: 14 November 2024
First contributed: 30 March 2023
Audience access level: Full user

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