On November 9, 2015, the Journal of the American Medical Association published an article on over- medical treatment . The article pointed out that many of the 400 million person-time clinics are related to mental state and close to 75% of symptoms. It can be relieved in a few weeks or months without treatment at all. According to the article, 75% of the treatment behavior is over-medical. So what is over-medical?
Excessive care is a global problem
The exact medical definition is that if a treatment causes more harm to the patient than its potential benefits, the treatment is called abuse, including over-medication, over-examination, over-treatment, etc. The specific behaviors are: unnecessary Inspection or repeated examination, no disease to take medicine, minor illness, major illness, terminal illness, medical treatment, "medical regardless" leading to over-medical treatment, private medical services leading to excessive medical treatment.
According to statistics, the annual waste of the US medical system due to unnecessary treatment and ineffective treatment is as much as $750 billion, equivalent to 30% of total medical expenses. Dr. Gong Zhaolong, a well-known expert in the development of new drug development and former senior drug reviewer of the US Food and Drug Administration (FDA), recently publicly stated at a medical conference that an oncology drug is effective only on 25% of the oncology group.
It is understood that this is not only the United States, but also a global issue. For example:
More than 57% of patients in China have received unsuitable antibiotic treatment. According to a study by the Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, China used 162,000 tons of antibiotics in 2013, accounting for half of the global use. 52% are veterinary, 48% are used by humans, and more than 50,000 tons of antibiotics are discharged into the soil and water environment.
In the United States, up to 70% of patients in the region have undergone hysterectomy that they did not have to do;
In the case of knee replacement surgery alone, 34% of operations in the United States are unnecessary, compared to 26% in Spain.
The WHO (World Health Organization) estimates that there are approximately 6.2 million unnecessary cesarean sections worldwide each year, more than 50% of which occur in Brazil and China.
Unlike foreign medical treatment, which focuses on examinations and surgery, China's over-medical treatment is more likely to appear in the pharmaceutical field. Drug abuse, especially the abuse of antibacterials and proprietary Chinese medicines, has become a unique feature of China. Excessive medical care not only wastes drug resources, but also is not good for health. How should we avoid it?
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