{"id":566937,"date":"2023-03-22T17:01:04","date_gmt":"2023-03-22T14:01:04","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/many-patients-are-given-unnecessary-care-heres-why\/"},"modified":"2023-03-22T17:01:04","modified_gmt":"2023-03-22T14:01:04","slug":"many-patients-are-given-unnecessary-care-heres-why","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/many-patients-are-given-unnecessary-care-heres-why\/","title":{"rendered":"#Many patients are given unnecessary care. Here&#8217;s why"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a30c77565e69\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #dd3333;color:#dd3333\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #dd3333;color:#dd3333\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a30c77565e69\" checked aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/buradabiliyorum.com\/en\/many-patients-are-given-unnecessary-care-heres-why\/#%E2%80%9CMany_patients_are_given_unnecessary_care_Heres_why%E2%80%9D\" >&#8220;Many patients are given unnecessary care. Here&#8217;s why&#8221;<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/buradabiliyorum.com\/en\/many-patients-are-given-unnecessary-care-heres-why\/#What_is_low-value_care\" >What is low-value care?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/buradabiliyorum.com\/en\/many-patients-are-given-unnecessary-care-heres-why\/#How_common_is_this\" >How common is this?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/buradabiliyorum.com\/en\/many-patients-are-given-unnecessary-care-heres-why\/#Why_does_this_happen\" >Why does this happen?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/buradabiliyorum.com\/en\/many-patients-are-given-unnecessary-care-heres-why\/#Why_is_this_important_to_draw_attention_to\" >Why is this important to draw attention to?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/buradabiliyorum.com\/en\/many-patients-are-given-unnecessary-care-heres-why\/#How_can_the_use_of_low-value_care_be_reduced\" >How can the use of low-value care be reduced?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"%E2%80%9CMany_patients_are_given_unnecessary_care_Heres_why%E2%80%9D\"><\/span>&#8220;Many patients are given unnecessary care. Here&#8217;s why&#8221;<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<div>\n<div class=\"article-gallery lightGallery\">\n<div data-thumb=\"https:\/\/scx1.b-cdn.net\/csz\/news\/tmb\/2023\/many-patients-are-give.jpg\" data-src=\"https:\/\/scx2.b-cdn.net\/gfx\/news\/2023\/many-patients-are-give.jpg\" data-sub-html=\"International data suggest that 11% to 30% of all care given is unnecessary. Credit: Pixabay\">\n<figure class=\"article-img\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/scx1.b-cdn.net\/csz\/news\/800a\/2023\/many-patients-are-give.jpg\" alt=\"Many patients are given unnecessary care\u2014here's why\" title=\"International data suggest that 11% to 30% of all care given is unnecessary. Credit: Pixabay\" width=\"780\" height=\"530\"\/><figcaption class=\"text-darken text-low-up text-truncate-js text-truncate mt-3\">\n                International data suggest that 11% to 30% of all care given is unnecessary. Credit: Pixabay<br \/>\n            <\/figcaption><\/figure>\n<\/div>\n<\/div>\n<p>Caregivers want patients to feel cared for. This, according to a new doctoral thesis from Karolinska Institutet, is one reason why they still give treatments that provide no benefit.\n                                                <\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_low-value_care\"><\/span>What is low-value care? <span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Care practices that are ineffective, such as unnecessary examinations or treatments that do nothing to help combat the condition, such as giving antibiotics for a viral infection or an infection of the upper respiratory tract, says Sara Ingvarsson, researcher at the Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, who recently defended her doctoral thesis about low-value care. It also includes treatments that have a poor risk-benefit balance, like conducting an unwarranted X-ray examination that exposes the patients to unnecessary radiation. There is also a risk of secondary findings that are harmless but nonetheless worrying to the patient.\n<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_common_is_this\"><\/span>How common is this?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>We don&#8217;t know. Its hard to study and very little research has been done on this in Sweden. However, international data suggest 11% to 30% of all care given. In one U.S. survey, 72% of doctors say that they give low-value care daily.\n<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_does_this_happen\"><\/span>Why does this happen?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The studies in my thesis give several reasons. For one, its a systemic flaw, such as standard orders for samples to be taken when some are not medically justified. Then there&#8217;s the doctor-patient relationship. My interview studies show that doctors often have a strong desire to help their patients, and doing something feels better than doing nothing. It can also be hard to resist pushy patients who insist on a particular treatment or examination. Financial instruments can complicate matters further: if a GP center, for example, gets paid per registered patient, the doctors will try to keep their patients h<a href=\"https:\/\/buradabiliyorum.com\/en\/category\/download-scripts-themes-apps\/\" data-internallinksmanager029f6b8e52c=\"9\" title=\"Download Scripts &amp; Themes &amp; Apps\" target=\"_blank\" rel=\"noopener\">app<\/a>y. We&#8217;ve seen that this causes an increase in low-value care.\n<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_is_this_important_to_draw_attention_to\"><\/span>Why is this important to draw attention to?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Its human nature to want to help, so its easy to understand the doctors&#8217; behavior. But we have a limited health care budget and I think its important that our shared resources are put to the best possible use.\n<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_can_the_use_of_low-value_care_be_reduced\"><\/span>How can the use of low-value care be reduced?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>We don&#8217;t have an evidence-based method yet. But one way is for care units and medical centers to review their routines so that, for instance, only relevant samples are taken. Its also important to continue the efforts to reduce the unnecessary prescription of antibiotics. In my experience, doctors are fully aware of the phenomenon, but they might need to raise the issue collectively to make it easier to break certain habits.<\/p>\n<p>At a system level, health care organizers should bear in mind that financial incentives can determine the amount of low-value care given. Individual patients also need a better understanding of medical priorities. I believe that few people would demand care if they understood that it would have no effect. But we know too little about the patients&#8217; perspective, and more research is needed.<\/p>\n<div class=\"article-main__more p-4\">\n<p><strong>More information:<\/strong><br \/>\n                                                    Tipping the scale of resources: de-implementation of low-value care from an operant perspective. <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/openarchive.ki.se\/xmlui\/handle\/10616\/48459\">openarchive.ki.se\/xmlui\/handle\/10616\/48459<\/a><\/p>\n<\/div>\n<div class=\"d-inline-block text-medium my-4\">\n                                                Provided by<br \/>\n                                                                                                    Karolinska Institutet<br \/>\n                                                                                                        <a rel=\"nofollow noopener\" target=\"_blank\" class=\"icon_open\" href=\"http:\/\/ki.se\/?l=en\"><br \/>\n                                                        <svg><use href=\"https:\/\/medx.b-cdn.net\/tmpl\/v6\/img\/svg\/sprite.svg#icon_open\" x=\"0\" y=\"0\"\/><\/svg><\/a><\/p><\/div>\n<p>                                        <!-- print only --><\/p>\n<div class=\"d-none d-print-block\">\n<p>\n                                                 <strong>Citation<\/strong>:<br \/>\n                                                 Many patients are given unnecessary care. Here&#8217;s why (2023, March 22)<br \/>\n                                                 retrieved 22 March 2023<br \/>\n                                                 from https:\/\/medicalxpress.com\/<a href=\"https:\/\/buradabiliyorum.com\/en\/category\/news\/\" data-internallinksmanager029f6b8e52c=\"2\" title=\"News\" target=\"_blank\" rel=\"noopener\">news<\/a>\/2023-03-patients-unnecessary.html<\/p>\n<p>                                            This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no<br \/>\n                                            part may be reproduced without the written permission. 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Here&#8217;s why&#8221; International data suggest that 11% to 30% of all care given is unnecessary. Credit: Pixabay Caregivers want patients to feel cared for. This, according to a new doctoral thesis from Karolinska Institutet, is one reason why they still give treatments that provide no benefit. What is low-value&#8230;<\/p>\n","protected":false},"author":1,"featured_media":566938,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/scx2.b-cdn.net\/gfx\/news\/2023\/many-patients-are-give.jpg","fifu_image_alt":"","footnotes":""},"categories":[16],"tags":[],"class_list":["post-566937","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sciencee"],"_links":{"self":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/566937","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/comments?post=566937"}],"version-history":[{"count":0,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/566937\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media\/566938"}],"wp:attachment":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media?parent=566937"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/categories?post=566937"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/tags?post=566937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}