Related Experiment Video
Updated: Jul 2, 2025

A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
Published on: July 5, 2022
[Paediatricians report an increased demand for diagnostic tests for reassurance]
Fabienne G Ropers1,2, Leti van Bodegom-Vos3, Sophie Rietveld1
1LUMC, Leiden. Afd. Kindergeneeskunde, Willem-Alexander Kinderziekenhuis.
Objective:
Test decisions depend on the context in which health care is delivered. We interviewed paediatricians about perceived societal developments and their influence on diagnostic testing.
Design:
Qualitative interview study.
Methods:
Semi-structured in-depth interviews with 20 practicing Dutch paediatricians.
Results:
Paediatricians associated societal developments, such as decreased risk acceptance, with perceived pressure from parents to perform tests. They were motivated to restrict unnecessary tests to avoid harming the child.
Conclusion:
Besides motivation and effort of health care providers, appropriate testing requires system-level actions, such as counteracting a culture of blame and considering societal interests in guideline recommendations.
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