Too many ultrasounds, biological examinations, health check-ups, prescriptions for drugs, even surgeries, are carried out in an abusive and indiscriminate manner, deplores the National Academy of Medicine in its report “Improving the relevance of medical strategies ”.
The public authority advising body directly calls into question the doctors: “There is no prescription made apart from a doctor of medicine (or dentistry), which underlines the responsibility of the medical profession in the drifts” .
The Academy particularly regrets that the meticulous clinical examination of the patient, which is part, along with the questioning (taking medication, history, etc.), of total patient management, is insufficiently taken into account, including understood during their learning of medicine.
It also calls into question the usefulness of the free health checks offered by the Health Insurance. About 600,000 people undergo it every year, including biological analyzes to measure many parameters in the blood and urine. “However, a very recent study, published by the Cochrane Library and covering 182,880 cases, concludes that this practice does not reduce morbidity and mortality, neither overall, neither for cancerous pathologies, nor for cardiovascular diseases.” Can we read in the report. It thus puts the issue of systematic screening for breast cancer and breast cancer back on the agenda. mammograms which can be potentially dangerous.
Finally, the National Academy of Medicine proposes to ban unnecessary repetitions of analyzes, “fuzzy prescriptions” style “thyroid checkup“Or” hepatic assessment “, and” redundant analyzes “, consisting in prescribing a new blood test, or a new examination, considered to be more efficient without however abandoning the old one, and this, without benefit for the patient.
