The “food chain” in health market: from ‘disease mongering’ to ‘doctor shopping’

Authors

  • José Agostinho Santos Unidade Local de Saúde Familiar Dunas. Lavra

DOI:

https://doi.org/10.5712/rbmfc9(31)853

Keywords:

Quality of Life, Health Care Sector, Health Services Misuse, Medicalization, Quaternary Prevention

Abstract

In recent years, different concepts have emerged in the medical literature, such as disease mongering, selling sickness and doctor shopping. These are three major phenomena of the current healthcare market, which is facing the challenge of increasing its profit with healthy people. In this sense, the interrelationships between these concepts have made the news: disease mongering feeds selling sickness, generating fears that impel a healthy person to seek reassurance in clinical procedures with unproven benefits. This search for the prevention or control of casual body alterations (which are normal, but conveyed as possibly pathological) inflates doctor shopping. This enhancer sequence of consumption growth is nothing but an authentic food chain. General practitioners, as the defence lawyers of their patients, would feel taken by the need to protect them against excessive and unnecessary interventions that would compromise their biopsychosocial well-being.

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Author Biography

José Agostinho Santos, Unidade Local de Saúde Familiar Dunas. Lavra

Unidade de Saúde Familiar Dunas, ULS - Matosinhos, Portugal

References

Melo M. A promoção da doença. A quem interessa? Rev Port Clin Geral. 2007;23:361-4.

Moynihan R, Heath I, Henry D. Selling sickness: the pharmaceutical industry and disease mongering. BMJ. 2002;324:886-91. PMid:11950740 PMCid:PMC1122833. http://dx.doi.org/10.1136/bmj.324.7342.886 DOI: https://doi.org/10.1136/bmj.324.7342.886

McDonald DC, Carlson KE. Estimating the prevalence of opioid diversion by “Doctor Shoppers” in the United States. PLoS One. 2013;8(7):e69241 PMid:23874923 PMCid:PMC3714248. http://dx.doi.org/10.1371/journal.pone.0069241 DOI: https://doi.org/10.1371/journal.pone.0069241

Sansone RA, Sansone LA. Doctor Shopping: a phenomenon of many themes. Innov Clin Neurosci. 2012;9(11-12):42-6. Pmid:23346518. Disponível em: http://innovationscns.com/doctor-shopping-a-phenomenon-of-many-themes/.

Melo M. A prevenção quaternária contra os excessos da Medicina. Rev Port Clin Geral. 2007;23(3):289-93. Disponível em: http://www.rpmgf.pt/ojs/index.php?journal=rpmgf&page=article&op=view&path%5B%5D=10361.

World Organization of Family Doctors (Wonca Europa). A definição europeia de Medicina Geral e Familiar(Clínica Geral / Medicina Familiar). Portugal: Wonca Europa; 2002. p. 6-14. Disponível em: http://www.woncaeurope.org/content/portugal-defini%C3%A7%C3%A3o-europeia-de-medicina-geral-e-familiar-cl%C3%ADnica-geral-medicina-familiar.

Gérvas J, Pérez Fernández M. Uso y abuso del poder médico para definir enfermedad y factor de riesgo, en relación con la prevención cuaternaria. Gac Sanit. 2006;20(Suppl 3):66-71. PMid:17433203. http://dx.doi.org/10.1157/13101092 DOI: https://doi.org/10.1157/13101092

Published

2013-12-17

How to Cite

1.
Santos JA. The “food chain” in health market: from ‘disease mongering’ to ‘doctor shopping’. Rev Bras Med Fam Comunidade [Internet]. 2013 Dec. 17 [cited 2024 Aug. 24];9(31):210-2. Available from: https://rbmfc.org.br/rbmfc/article/view/853

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Section

OPEN SPACE

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