[Too little attention for overdiagnosis?]

Area of Science:

• Healthcare Management
• Medical Diagnostics
• Health Behavior

Background:

• Increasing availability and technical advancements in diagnostic tests contribute to their rising use.
• Both healthcare providers and patients influence the excessive utilization of diagnostic tests.
• This trend exacerbates the issue of overdiagnosis within healthcare systems.

Purpose of the Study:

• To identify factors perpetuating the overuse of diagnostic tests.
• To explore strategies for fostering a culture of sensible and cost-effective diagnostics.
• To address the link between diagnostic test overuse and overdiagnosis.

Main Methods:

• This perspective outlines contributing factors based on current trends and existing literature.
• It discusses the role of behavioral science in influencing healthcare practices.
• It references global initiatives promoting appropriate test utilization.

Main Results:

• Excessive diagnostic test use is perpetuated by physician and patient behaviors.
• Overdiagnosis is a direct consequence of this overuse.
• A multi-faceted approach is needed to promote sustainable diagnostic practices.

Conclusions:

• Behavioral interventions for clinicians and public information campaigns for citizens are crucial.
• Global movements like 'Too Much Medicine' and 'Choosing Wisely' can support this shift.
• Achieving sensible diagnostics requires collaboration among brave doctors, informed patients, and supportive work environments.