Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Drug Therapy01:28

Drug Therapy

118
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
118
Ethical Issues01:27

Ethical Issues

1.4K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
1.4K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

5.2K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.2K
Ethical Dilemmas II01:30

Ethical Dilemmas II

1.5K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.5K
Prescription, Nonprescription and Orphan Drugs01:02

Prescription, Nonprescription and Orphan Drugs

906
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
906
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

162
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
162

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

At home or in hospital: Home treatment and mental health stigma.

The International journal of social psychiatry·2021
Same author

Evaluation of psychiatry assessment and planning units.

The Australian and New Zealand journal of psychiatry·2020
Same author

Rationing decisions and the endowment effect.

Journal of the Royal Society of Medicine·2020
Same author

The lottery is still an option.

Medical education·2018
Same author

Basic Sciences and Psychiatry.

Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·2017
Same journal

Evaluating Restraint and Seclusion as Care Processes Rather Than Compliance Metrics.

Journal of evaluation in clinical practice·2026
Same journal

Burden in Informal Caregivers of Palliative Care Patients With Pressure Injuries: Perceived Social Support and Influencing Factors Care Burden in Palliative Caregivers.

Journal of evaluation in clinical practice·2026
Same journal

Organisational Problems, Role Stress, and Job Satisfaction Among Emergency Department Workers: A Multicenter Mixed-Effects Study.

Journal of evaluation in clinical practice·2026
Same journal

Highlighting a Systemic Bias in the Responder Odds Ratio.

Journal of evaluation in clinical practice·2026
Same journal

Epistemological Issues in Clinical Reasoning: A Scoping Review.

Journal of evaluation in clinical practice·2026
Same journal

An Evaluation of AI-Generated Clinical Notes in the OpenNotes Era: A Thematic Analysis of Clinician Discourse.

Journal of evaluation in clinical practice·2026
See all related articles

Related Experiment Video

Updated: Oct 15, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

482

Overtreatment: Is a solution possible?

Dieneke Hubbeling1,2

  • 1Wandsworth Home Treatment Team, South West London and St George's Mental Health NHS Trust, London, UK.

Journal of Evaluation in Clinical Practice
|October 25, 2021
PubMed
Summary
This summary is machine-generated.

Overtreatment in healthcare, often stemming from screening, can harm patients and increase costs. Balancing patient autonomy with societal needs for efficient resource allocation presents a complex challenge with no easy solutions.

Keywords:
diagnosishealth policymedical ethicsphilosophy of medicinepublic health

More Related Videos

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
09:19

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo

Published on: February 6, 2015

8.8K
High-throughput Identification of Synergistic Drug Combinations by the Overlap2 Method
07:51

High-throughput Identification of Synergistic Drug Combinations by the Overlap2 Method

Published on: May 21, 2018

12.1K

Related Experiment Videos

Last Updated: Oct 15, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

482
Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
09:19

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo

Published on: February 6, 2015

8.8K
High-throughput Identification of Synergistic Drug Combinations by the Overlap2 Method
07:51

High-throughput Identification of Synergistic Drug Combinations by the Overlap2 Method

Published on: May 21, 2018

12.1K

Area of Science:

  • Medical Ethics
  • Health Policy
  • Public Health

Background:

  • Screening identifies health issues but risks overtreatment, leading to patient harm and increased healthcare costs.
  • Overtreatment extends beyond screening, encompassing interventions for performance enhancement rather than disease treatment.
  • Conflicting interests arise between patient autonomy and societal focus on health outcomes.

Purpose of the Study:

  • To analyze the problem of overtreatment from both patient and governmental perspectives.
  • To explore the tension between individual autonomy and population-level health outcomes in medical decision-making.
  • To discuss potential strategies for mitigating overtreatment in healthcare.

Main Methods:

  • Conceptual analysis of patient autonomy versus governmental outcome-based resource allocation.
  • Examination of ethical considerations in medical interventions and performance enhancement.
  • Review of policy implications for screening programs and medical regulations.

Main Results:

  • Patient autonomy allows choices for risk avoidance or performance enhancement, even refusing life-saving treatments.
  • Governmental perspective prioritizes funding interventions with the greatest potential to save lives or prevent disability.
  • Conflicting interests between patient autonomy and societal outcomes create inherent challenges for a universal solution to overtreatment.

Conclusions:

  • A general solution to overtreatment is unlikely due to the fundamental conflict between patient autonomy and societal outcome priorities.
  • Medical research advancements in anomaly detection and prediction may help reduce overtreatment for specific conditions.
  • Policy interventions, such as regulating performance-enhancing drugs, face challenges in consensus and application.