Quaternary prevention: The antidote to medical overuse! - JCHM- Print ISSN No: 2394-272X Online No:- 2394-2738 Article DOI 10.18231/j.jchm.2023.001, Journal of Community Health Management-J Manag

BACKGROUND Medical overuse is a topic of growing interest in health care systems and especially in primary care. It comprises both over investigation and overtreatment. Quaternary prevention strategies aim at protecting patients from unnecessary or harmful medicine. The objective of this study was to gain a deeper understanding of relevant aspects of medical overuse in primary care from the per...

Overuse injuries are common in athletes and present a variety of challenges. For many athletes, the medical management and return-to-sport considerations of overuse injuries involve many variables including the goals of the athlete, medical staff, family, coach, and administration. Although exertional rhabdomyolysis (ER) is relatively rare, the consequences can be fatal, and therefore, appropri...

BACKGROUND Overuse of surveillance testing for breast cancer survivors is an important problem but its extent and determinants are incompletely understood. The objectives of this study were to determine the extent to which physicians' breast cancer surveillance testing beliefs are consistent with test overuse, and to identify factors associated with these beliefs. METHODS During 2009-2010, a ...

The Choosing Wisely campaign began in the United States in 2012, founded by the American Board of Internal Medicine (ABIM) Foundation. It helps specialists to agree lists of interventions that should be used with more caution because they are often unnecessary and therefore wasteful and potentially harmful (see box 1 for examples). More than 60 US specialist societies will have created lists by...

Overuse of medical services is an increasingly recognized driver of poor-quality care and high cost. A practical framework is needed to guide clinical decisions and facilitate concrete actions that can reduce overuse and improve care. We used an iterative, expert-informed, evidence-based process to develop a framework for conceptualizing interventions to reduce medical overuse. Given the comple...

OBJECTIVE To examine male-female differences in pediatric overuse sports injuries. STUDY DESIGN Cross-sectional epidemiological study. SETTING Tertiary level sports medicine division in a large academic pediatric medical center. PARTICIPANTS Five percent probability sample of patients 5 to 17 years seen from January 1, 2000 to December 31, 2009. About 3813 charts reviewed. Final study coh...

BACKGROUND A partnership of large health-care purchasers created a workgroup to reduce the overuse of harmful and wasteful medical care in California. OBJECTIVE Employ a civic engagement process to identify the social values important to the public in considering different strategies to reduce overuse. INTERVENTION Use of deliberation techniques for 3 case examples that explore possible str...

Two-hundred and ninety-four male and 224 female randomly selected recreational cyclists responded to a mail questionnaire. Significant differences were observed between male and female cyclists' training characteristics. Overall, 85% of the cyclists reported one or more overuse injury, with 36% requiring medical treatment. The most common anatomical sites for overuse injury/complaints reported ...