Treatment beyond a certain limit is called overtreatment

What does it mean to exceed a certain limit?

I've basically never seen a doctor in my 47 years, except for 2 ear pull-outs. But I believe that if you have a condition that needs to be treated, and you don't need to treat it, don't treat it.

1, there is one that is not a disease but a manifestation of aging. Trying to return to old age is just a wish, and treatment is unrealistic. For example, when you get old, your hair is gray, it is a natural law. Treatment, how to cure, nothing more than dyeing black, treatment is not black. Also for example, wrinkles, you can beauty face facelift, look younger, but want to not grow wrinkles through the treatment, is impossible.

2, there is a syndrome that is not a disease and will heal itself without treatment, so I won't go into details. Some people have that disease, think they have a disease, even cancer, and scare themselves to death. The treatment is a waste of time and money.

3, is petty. It is just a common cold, and it will be fine in a few days. Some people say that a cold is not a good idea, but also injections and medicines, but also hospitalized in the drip, various instruments Ⅹ light film, ultrasound, MRI examination, do not hesitate to spend thousands of dollars, the beautiful name is 'check assured'.

4, is a small illness. Big money is not bad for people or people who can be reimbursed for hospitalization for a little illness.

5, is that some people do not need to take medication to take medicine, take medication will be good for injection, injection can be good for IV drip, do not need to be hospitalized he has to be hospitalized. Live in the general ward he lived in the intensive care unit, with ordinary drugs can be good, with expensive drugs. With domestic drugs can be cured, have to use imported drugs, conservative treatment can be treated have to surgery.

6, is that some doctors write large prescriptions, allowing patients to spend a handful of dollars and carry back a whole bunch of drugs. Do not need to stethoscope, cut the pulse, open a series of lists to check. Do not have to surgery can be, let you surgery.

7, is terminal cancer or other diseases themselves are incurable, rich people are willing to smash money to save their lives, no money people's lives are worth money to let their children to carry a huge debt for him to see a doctor to save their lives, spend the price of the day is also the same life, people and money are empty. Rich people have money, willing to invest in hospitals. No money people do not care about their children's lives, the so-called 'dead horse as a living horse doctor', the children pour money into their parents to salvage filial piety, this treatment is worth it? This is over-treatment.

Some of the over-treatment is 'guided' by the doctor, and some is the willingness of the patient and family to take the bait.

I think that excessive treatment is really unnecessary, spending money can not save the life of the disease, my attitude is simply do not go to the hospital for treatment, free of trouble, but also save money. Children don't be afraid of others say unfilial, I don't say, they would like to say go ahead. What's wrong with leaving that money to your children?

Most of the references to overmedication are made by patients and the media, and healthcare organizations themselves would never consider themselves to be overmedicated.

The so-called overmedication is generally the patient's view that the hospital has implemented more medical measures and spent more money on medical treatment than he expects, and that many of the measures and costs are unnecessary. For example, it is often said that it costs thousands of dollars to treat a cold. For a minor operation, one has to be tested for AIDS and syphilis before the operation, and so on. The news media even use expensive medical treatment as a note of excessive medical care.

So is there a standard for overmedication, and who can authoritatively determine it. There seems to be no definite answer. But this is not to deny the existence of excessive medical care, just difficult to have a unified standard. Patients think of excessive medical care, he has his own comparisons, such as now compared with over, hospital A compared with hospital B and so on. In fact, the causes of this problem are complex, there are hospital factors, such as the fear of missing the diagnosis and more tests and examinations. There are the shortcomings of the fee system according to the project fee, which prompted the hospital to do more tests. There are patient factors, demand for good drugs, expensive drugs, high-grade tests, etc., which pushes up the cost of treatment.

In order to overcome the itemized charges implemented by the health insurance, inpatient charges by disease, disease-related diagnostic group charges and so on are now also introduced to control excessive medical care.

Generally speaking, public hospitals are relatively better in controlling excessive medical care. Some private medical organizations do induce medical consumption and excessive medical care. There are really quite a number of instances in this regard. This is also the reason why patients have criticized this more. Diagnosis and treatment behavior is a conscience work, as a medical staff should be in line with professional ethics to serve every patient, strengthen the communication between doctors and patients, do the necessary tests, with the necessary drugs, saving medical resources, and do a good job as the gatekeeper of health insurance costs.

As a patient it is important to understand medical practices. Medical technology is changing rapidly, the overall cost is certainly rising, the key is to take the medical behavior is appropriate, reasonable, in line with the medical routine treatment. It is not the so-called excessive medical care.

Only those conclusions of excessive medical treatment that seem obviously unreasonable and have been assessed and recognized by the relevant departments and medical experts are recognized by both doctors and patients.

The Xinhua News Agency published a short commentary accusing the medical profession of the ugly phenomenon of overmedication. It provoked a great deal of reaction and discussion on the Internet. More than 99% of the opponents were people working in the medical field. There are two main reasons for their opposition, the first is that the medical profession does not have a guaranteed financial income, and the income of medical staff is low, so they have to improve their income and hospital expenses by over-treatment, and the second is that the doctors do not know what is meant by over-treatment, and if there is over-treatment, it is also for the sake of the patients' well-being, and also for the sake of not missing the diagnosis, and at the same time, it is a means of protecting themselves, and sometimes, it is the patients' own initiative to request for Over-treatment is sometimes requested by the patient on his own initiative. In fact, these two reasons are bullshit. Your low income and imbalance of income and expenditure can be transferred to the majority of patients by illegal means, digging up the patients' life-saving money? If this is also valid, then the police indiscriminate fines officials embezzlement is also justified. Excessive two words, as long as there is a certain language skills can understand what it means. A certain margin above the average level is excessive, yet some old doctors say they do not know what is meant by over-treatment, which is really a cover-up. Engaged in medical rescue work should know the average cost of each routine disease treatment, in some cases, because of some special difficult cases, or the patient's own request, greatly exceeded the average cost of treatment and examination is also reasonable. If these cases become a common phenomenon, this is a kind of ugly behavior.

Looking at the process of medical activities, it is mainly a process of communication between doctors and patients and their families. Doctors in the current medical environment, first of all, to save themselves, a consultation and treatment in an accident, the patient has a disability or death, if the doctor, the impact is huge. In order to avoid these, in order for the consultation and treatment to go smoothly, there will be a certain degree of expansion of the scope of the examination, the patient will have financial pressure. For the patient, wanting value for money, wanting the least amount of money, getting the best medical treatment. Want the doctor to say the patient is fine, no need to do the test. And the disease process is not fully controllable. The main conflict is money! It would be nice to have all free healthcare. And that is not possible.

What the patient considers reasonable is moderate medical care and what he considers unreasonable is excessive medical care, it's as simple as that, excessive medical care only exists in the consciousness of the patient and his family.

Overmedication is a way for hospitals to generate revenue.

1, it shows that doctors are in a bad situation.

2, need to give you more tests to feed yourself.

3, the reason being that health care in this country is not worth the money.

4, if it's worth money, who wants to work against their conscience.

5, more revenue streams for hospitals to feed a large group of medical staff.

6, where is the source of income, it can only be on the patient.

7 and raise the cost of health care services with even more reluctance on the part of patients.

8 and always feel that the doctor is not doing enough.

9, what is the best thing for a doctor to do.

10, overmedication everyone knows.

11, why even bother to do it willingly.

12 that patients also need to spend money for peace of mind.

13, but not too outrageous.

14, in moderation, to your conscience.

15, Talent is not close to immortality, virtue is not close to Buddha, and one must not be a doctor.

16 that anything that happens is definitely not a one-person thing.

Do you think over-medication can be eliminated by doctors?

Come and like us and say what's on your mind below.

This is not the measure of the degree, want not to overdo it, first treatment and then count the bill, the patient is not good, free re-treatment ......

What's the deal with overmedication?

"Excessive medical treatment refers to the examination or treatment conducted in violation of clinical medical norms and ethical guidelines, and in isolation from the actual condition of the patient, thus increasing medical costs and wasting resources. Excessive medical treatment includes excessive examination, excessive treatment (including medication, surgery and interventional therapy, etc.) and excessive nursing care.

Excessive medical care is caused by a number of factors, including the medical market, physician factors, patient factors, and legal factors. Patients are not clear about medical items and prices, information asymmetry, there is a "supply-induced demand"; secondly, the development of the medical market, medical personnel's income is linked to economic benefits, and some medical personnel have lost their medical ethics and conscience, and profit from "large prescriptions" and "large examinations"; the complexity of medicine itself and doctors' diagnosis and treatment level, as well as the complexity of medicine itself and doctors' diagnosis and treatment level. Secondly, the development of medical marketization is linked to economic benefits, and some medical personnel have lost their medical ethics and conscience, making profits by "big prescription" and "big checkup"; the complexity of medicine itself and the diagnosis and treatment level of doctors, as well as the reversal of proof system of medical malpractice appraisal may lead to excessive checkups of patients; there is also the tense relationship between doctors and patients, and the unreasonable demands of individual patients. These factors have combined to create a widespread phenomenon of overuse of medication, examinations and treatments, jeopardizing the health of patients and increasing their burden.

In this regard, how to reduce overmedication, the measures are also multi-faceted: the government should speed up the construction of the medical system, reform the doctor's salary system, strengthen the construction of medical ethics; constantly improve medical laws and regulations, outlawing the reversal of the burden of proof system or to reduce the unreasonable litigation measures; hospitals to strictly control the ratio of drugs, outlawing the link between the doctor's salary and consultation income, the doctor's violation of the profit-making or receiving red packets seriously dealt with; to strengthen the patient's education in medical science and help patients to establish a correct health awareness, so as to eliminate the hidden dangers of overmedication The government has been trying to help patients establish a correct health awareness and reduce unreasonable demands, thus eliminating the hidden dangers of excessive medical treatment.

This content is reviewed by Yang Guang, Deputy Chief Physician, Department of Critical Care Medicine, Guangdong Hospital of Traditional Chinese Medicine.

Click here for details of the doctor's answer

What is overmedication? It is when the people spend more money than they should. This is something that every ordinary citizen understands. But once they or their loved ones are sick and go to the hospital, they say nothing and are full of ignorance until after they are discharged from the hospital and go home, when they count the money, they remember the term called overmedication. By this time, they are again in the clear.

1, the difficulty of doctors.The most obvious is advanced cancer. You go to the hospital, say you have pain in your upper right abdomen, the doctor gives you an ultrasound and finds liver cancer. Take a chest x-ray and there are metastases in the lungs. This is already a basic diagnosis of advanced liver cancer. In the past, without ultrasound, the initial diagnosis could be made based on clinical manifestations, laboratory tests and other means. But I'm sorry, the ultrasound doctor wrote in the last line, "Please do further examination", and it's also written under the X-ray report, "Please do further examination". Then fine, do a CT. confirm the diagnosis of advanced liver cancer, and the last line still says, please further examination. So fine, do an MRI. Definitive diagnosis of advanced liver cancer, and the last line reads, please combine with clinical. Meaning it's for the doctor to play, you still have to biopsy it, you have to have genetic testing that can definitively type it. One way or another, tens of thousands of dollars are gone.

An ultrasound costs 160 dollars for a basic diagnosis, but in the end, it costs tens of thousands of dollars. This is called excessive examination.

The patient cooperated fully with a sense of luck and a spirit of discovery to find out what was going on. The hospital, doctors, patients and families worked together seamlessly and harmoniously.

The painful journey of treatment begins later. Most people don't suffer, they start to suffer when they start treatment. Of course, the doctors say the pain, caused by the cancer, it's human instinct, to avoid harm. It's in the literature, and it's impossible for a court judge to refute it. It's not here.

2, the hospital dilemma.Hospitals don't make money on drugs. It is claimed that there is zero price difference. In fact, many drugs are so expensive that it is impossible to make zero profit. Then, they can only rely on examinations and surgeries to make money. Hospitals also have to survive, and doctors have to think about hospitals. It can be said that doctors must think about the hospital. Because so many people have to be supported and hospitals have to develop.

3, Pathways to Health Care Reform.In other countries, reforming the health care system is a big and earth-shattering event. We, the people, look forward to the reform, believe in the reform, support the reform and obey the reform. However, there are still many problems and drawbacks. Can we blame others for this?

For example, family doctors are a good way to do this. Why are the people confused when they go to the hospital? It is because they do not know anything about medicine. At this time, if the family doctor gives them advice, they can suffer a lot less. But now, many people, almost all the people, the community health center doctors do not trust, or do not know respect, you asked him to spend 10 yuan consultation fee, he certainly did not agree, the doctor is also lazy to take care of. Doctors are already too busy to be dizzy or even bloodied.

I'm a family doctor myself, and I'm thirsty all day long for ideas for my patients. Most patients are grateful. But how many are like me?

4, Directions for medical care.Doctors, they can cure diseases, but they can't cure lives. When it comes to curing diseases, many diseases cannot be cured. For example, it should be common sense that there is no cure for cancer or viruses. What doctors can do is to alleviate the pain in many cases. If you have to ask a doctor to cure you, he will have to use his knife (surgery).

My sister-in-law has a torn ligament in her shoulder, should she have surgery or conservative treatment? I consulted a fellow orthopedic hospital specialist, who said he would have to look at the patient, and I said, what to look at, my sister-in-law is in her hometown, and I just want to know the prognosis of having the surgery. The classmate said that even if the young man, without disease, once the shoulder joint is opened and closed again, the function may be lost by 30%. Are comrades still obsessed with surgery?

Overmedication is when a doctor has to make you do a test that you obviously don't need to do, and he has to make you do a surgery that you obviously don't need to do. This is done because we don't understand and because their hospitals want to generate revenue.

Five or six years ago, my neighbor had a heart attack and was sent to the hospital, where the doctor examined him and said his blood vessels were 75% blocked, so he asked them to do a stent. At that time, an imported stent cost more than 30,000 yuan, and a domestic one cost more than 10,000 yuan, and it was out-of-pocket, which was not a small amount of money for most families. The neighbor said to wait until the baby came.

Then their child went to the hospital and the doctor still said to get a stent, saying it was the best kind of thing to do. His child called the doctor he knew for advice because he knew the doctor and showed the film to the doctor, who looked at it and didn't think it was necessary, so in the end the neighbor didn't have the stent.

As you can see from this incident, there are doctors in some hospitals who always exaggerate the condition of patients who don't understand medicine, and then make you undergo costly treatments to get a higher income from it.

I've met something similar myself.

Two years ago, I had hyperthyroidism, and when the endocrinologist saw my test results, he had me hospitalized. At that time, since I was not yet retired and still had some things to do on my hands, I told the doctor to prescribe me some medication first, and then come back to the hospital after I had taken care of the things on my hands.

After that, I could not be hospitalized because I had not arranged for my mother to be hospitalized, so I had to go to another hospital, but the doctor did not mention hospitalization at all, and just prescribed a month's worth of medication and asked me to take it and then take a blood test. Later on, I have been seeing the doctor in this way, once a month to test the indicators, and then according to the indicators to adjust the dosage of medication. In the end, no hospitalization, but also good.

As you can see from these two examples, there are indeed hospitals that overmedicate because the patients don't know any better so it's usually whatever the doctor says. But from now on, if I have to be hospitalized or undergo surgery, I will go to a few hospitals separately to see if the doctors' conclusions are the same, and then make a final decision on what to do and where to do it based on my judgment. This will also avoid spending more money and having things done that shouldn't be done.

The problem of over-medication, although the general public suffers greatly from it, is not something that can be solved by us ordinary people, and it should be given great attention by policy makers to solve the problem at source in order to truly put an end to it.