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 and covers topics such as:

  • Distinguishing between the concepts of medicalisation and overdiagnosis and discuss their main drivers
  • How medicine, health care, 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 is worse to overlook something than to over do something which may facilitate over diagnosis
  • The role of AI and machine learning to address the crudeness and imprecision in some 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 lead to over diagnosis and medicalization
  • What can we do to reduce the detrimental expansion of disease and subsequent over diagnosis

Resource details

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Contributed by: Complex Clinical Reasoning
Authored by: Bjorn Hofmann
Licence: More information on licences
Last updated: 31 March 2023
First contributed: 30 March 2023
Audience access level: Full user

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