Giovanni Colucci

MedOnLine-Statte , Italy

Title: Quaternary prevention and / or hypermedicalization. Fragility (disease) and / or lobbying

Abstract

Approximately 15-20% of patient-doctor meetings are defined by the latter as difficult. Difficult patients are defined as those who elicit strong negative emotions from their physicians. If not acknowledged and managed correctly, these feelings can lead to diagnostic errors, unpleasant confrontations, and troublesome complaints or legal claims. There are no difficult patients but difficult relationships due to characteristics of the patient, the doctor and / or influences of the society. Aims of the study: evaluate the relationship of the Difficult Patient (DP) with the Over Medicalization (OM) and how much it can affect the clinical practice (CP) and Public Spending (PS). Materials and methods: workgroup of the vocational training of general practice of Apulia Region has developed an evaluation form on DP and OM, which was administered to Doctors, who attended the General Practice’s (GP) office. Results:121 participating doctors. In the abscissae we have formulated three Items (excessive use and little use of health services, excess of medicines causes damage to health, use of validated medical practices can potentially be harmful and cause waste) in ordinate 9 items with various personalities of patients: 47.1% the patient was hypochondriac; 36.4% psychological; 27.3% were demanding. 35.5% believe that over-medicalization is observed in chronic degenerative diseases. The evidence of overdiagnosis: 42.2% dementia; 33.9% hypertensive heart disease; 32.2% greater depression. The causes of over-medicalization: 60.3% lack of GP integration and specialist; 58.7% defensive medicine; 55.4% request for pcs. Conclusion. From the observations of the colleagues it emerged that collaboration between the various health figures (GP and specialists) is opportune to better identify the DP.

Biography

Giovanni Colucci works at MedOnLine-Statte in Italy.

4th International Conference on Global Healthcare and Nutrition

Giovanni Colucci

Title: Quaternary prevention and / or hypermedicalization. Fragility (disease) and / or lobbying

Abstract

Biography

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