There’s A Drug for THAT!.pptx

There’s A Drug for THAT!.pptx - Theres A Drug for THAT...

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There’s A Drug for THAT! “The Medicalization of EVERYTHING!”
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Medicalization of Everything Defined as treating nonmedical problems as health care issues/nondiseases as diseases We are in a trend of medicalizing everything Adds to International Statistical Classification of Diseases and Related Health Problems (ICD-10 codes, for you future physicians) Obesity is under consideration as a disease Addiction is waffling as a disease Even stealing is a disease (kleptomania, anyone)
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ICD-10 Codes A00-B99 Certain infectious and parasitic diseases C00-D49 Neoplasms D50-D89 Diseases: blood and blood-forming organs and certain disorders involving the immune mechanism E00-E89 Endocrine, nutritional and metabolic diseases F01-F99 Mental, Behavioral & Neurodevelopmental disorders G00-G99 Diseases: nervous system H00-H59 Diseases: eye and adnexa H60-H95 Diseases: ear and mastoid process I00-I99 Diseases: circulatory system J00-J99 Diseases: respiratory system K00-K95 Diseases: digestive system L00-L99 Diseases: skin and subcutaneous tissue M00-M99 Diseases: musculoskeletal system and connective tissue N00-N99 Diseases: genitourinary system O00-O9A Pregnancy, childbirth and the puerperium P00-P96 Certain conditions originating in the perinatal period Q00-Q99 Congenital malformations, deformations and chromosomal abnormalities R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified S00-T88 Injury, poisoning and certain other consequences of external causes V00-Y99 External causes of morbidity Z00-Z99 Factors influencing health status and contact with health services Bitten by a cow - W55.21 Pecked by a chicken - W61.33 Injured at the opera - Y92.253 Injured while knitting or crocheting - Y93.D1 Struck by a Macaw - W61.12 Hurt at the library - Y92.241
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Perceptions and Delusions The public perceives that a drug for x means, soon, a drug for y They believe that any annoyance rises to the level of disease If it is a disease, physicians can be reimbursed for seeing a patient for it If a physician sees a patient for it, it must require treatment If we must treat it, we need a drug for it If we have a drug for it, someone must pay for it This is getting out of hand
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Patient Perceptions If there is a drug to prevent an unpleasant event, they want it Do not balance the risk of long-term therapy with event prevention Cannot imagine the option of “do nothing” See all event as avoidable with therapy Don’t understand that event can occur even in face of intervention See all unwanted events as similarly grave Don’t understand that some events are not as risky Drugs also carry risks Use “lottery mentality” to deduce that if they don’t take the drug, they will 100% experience the event There is no 100% certainty of any event except death Data show the chance of benefit of statins to prevent a cardiovascular event is 5% Seems a bit foolish, yes?
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  • Spring '18
  • Jennifer Schnellmann
  • Epidemiology, Medical statistics, Absolute risk reduction, absolute risk, International Statistical Classification of Diseases and Related Health

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