Logo do repositório
 
Publicação

The challenge of implementing Less is More medicine : a european perspective

2020Artigo científico Acesso restrito
Ver registo simples
dc.contributor.authorKherad, Omar
dc.contributor.authorPeiffer-Smadja, Nathan
dc.contributor.authorKarlafti, Lina
dc.contributor.authorLember, Margus
dc.contributor.authorAerde, Nathalie Van
dc.contributor.authorGunnarsson, Orvar
dc.contributor.authorBaicus, Cristian
dc.contributor.authorVieira, Miguel Bigotte
dc.contributor.authorCarneiro, António Vaz
dc.contributor.authorBrucato, Antonio
dc.contributor.authorLazurova, Ivica
dc.contributor.authorLeśniak, Wiktoria
dc.contributor.authorHanslik, Thomas
dc.contributor.authorHewitt, Stephen
dc.contributor.authorPapanicolaou, Eleni
dc.contributor.authorBoeva, Olga
dc.contributor.authorDicker, Dror
dc.contributor.authorIvanovska, Biljana
dc.contributor.authorYldiz, Pinar
dc.contributor.authorLacor, Patrick
dc.contributor.authorCranston, Mark
dc.contributor.authorWeidanz, Frauke
dc.contributor.authorCostantino, Giorgio
dc.contributor.authorMontano, Nicola
dc.date.accessioned2020-06-04T11:50:50Z
dc.date.available2020-06-04T11:50:50Z
dc.date.issued2020
dc.description© 2020 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.pt_PT
dc.description.abstractThe concept of Less is More medicine emerged in North America in 2010. It aims to serve as an invitation to recognize the potential risks of overuse of medical care that may result in harm rather than in better health, tackling the erroneous assumption that more care is always better. In response, several medical societies across the world launched quality-driven campaigns (“Choosing Wisely”) and published “top-five lists” of low-value medical interventions that should be used to help make wise decisions in each clinical domain, by engaging patients in conversations about unnecessary tests, treatments and procedures. However, barriers and challenges for the implementation of Less is More medicine have been identified in several European countries, where overuse is rooted in the culture and demanded by a society that requests certainty at almost any cost. Patients’ high expectations, physician's behavior, lack of monitoring and pernicious financial incentives have all indirect negative consequences for medical overuse. Multiple interventions and quality-measurement efforts are necessary to widely implement Less is More recommendations. These also consist of a top-five list of actions: (1) a novel cultural approach starting from medical graduation courses, up to (2) patient and society education, (3) physician behavior change with data feedback, (4) communication training and (5) policy maker interventions. In contrast with the prevailing maximization of care, the optimization of care promoted by Less is More medicine can be an intellectual challenge but also a real opportunity to promote sustainable medicine. This project will constitute part of the future agenda of the European Federation of Internal Medicine.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEuropean Journal of Internal Medicine 76 (2020) 1–7pt_PT
dc.identifier.doi10.1016/j.ejim.2020.04.014pt_PT
dc.identifier.issn0953-6205
dc.identifier.urihttp://hdl.handle.net/10451/43768
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.ejinme.com/pt_PT
dc.subjectOverusept_PT
dc.subjectWastept_PT
dc.subjectMedical educationpt_PT
dc.subjectHealthcarept_PT
dc.subjectChoosing wiselypt_PT
dc.titleThe challenge of implementing Less is More medicine : a european perspectivept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage7pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleEuropean Journal of Internal Medicinept_PT
oaire.citation.volume76pt_PT
person.familyNameBigotte Vieira
person.familyNameVaz Carneiro
person.givenNameMiguel
person.givenNameAntónio
person.identifier591378
person.identifier.ciencia-idFF17-2C76-E2CC
person.identifier.orcid0000-0003-0528-2716
person.identifier.orcid0000-0002-2783-0544
person.identifier.ridV-4629-2018
person.identifier.ridL-8026-2013
person.identifier.scopus-author-id57192837006
person.identifier.scopus-author-id7006837792
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication8d118e09-0abf-4347-8e5c-cc53c7cbd4bd
relation.isAuthorOfPublication376d157f-1127-4663-9d99-038dac28f37d
relation.isAuthorOfPublication.latestForDiscovery8d118e09-0abf-4347-8e5c-cc53c7cbd4bd

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura indisponível
Nome:
Less_is_more.pdf
Tamanho:
584.97 KB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

FM-CEMBE-Artigos em Revistas Internacionais