Abstract

In Medicine, it is critical "to offer 100% of what is needed and avoid 100% of what is not needed." Unfortunately, this primary issue is challenging, and generally, more than required is offered, and everything that is unnecessary is not avoided. This is a nonsystematic review with a teaching objective that reviews the general issue in primary care and suggests ways to avoid overuse and shortcomings concerning preventive, diagnostic, therapeutic, and rehabilitative interventions. Knowing not to do is science and art that is hardly taught and practiced less. The overuse that harm are an almost daily part of clinical practice in prevention, diagnosis, treatment, and rehabilitation. It is essential to promote "the art and science of not doing".

Highlights

  • In Medicine, it is critical “to offer 100% of what is needed and avoid 100% of what is not needed.” this primary issue is challenging, and generally, more than required is offered, and everything that is unnecessary is not avoided

  • This is a nonsystematic review with a teaching objective that reviews the general issue in primary care

  • El miedo y la preocupación por la enfermedad llevan al paciente a consultar más y a someterse a mayor número de pruebas y tratamientos con la creencia ciega en la tecnología y la Medicina y con el pensamiento de que es mejor cuanto más pruebas y cuanto antes se hagan, sin tener en cuenta los daños

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Summary

Introduction

In Medicine, it is critical “to offer 100% of what is needed and avoid 100% of what is not needed.” this primary issue is challenging, and generally, more than required is offered, and everything that is unnecessary is not avoided. Lo clave para evitar los excesos preventivos en Atención Primaria es lograr que el médico general/de familia tenga claro que la prevención no es una característica básica de la atención primaria.

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