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Abstracts from the 5th International Society for Evidence-Based Healthcare Congress, Kish Island, Iran
Poster
65: EXPLORING FACTORS INFLUENCING OVER-MEDICALIZATION: A SCOPING REVIEW
  1. Parinaz Doshmangir1,
  2. Leila Doshmangir2,
  3. Reza Shaghaghi3
  1. 1School of Public Health, Tabriz University of Medical Sciences,Tabriz, Iran
  2. 2School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
  3. 3Tabriz University of Medical Sciences, Tabriz, Iran.

Abstract

Background and aims: Medicalization is the process of extending medical gaze on human conditions which is not intrinsically bad phenomenon. Engaging in the medicalization out of defined thresholds or the bad form of medicalization is called over-medicalization. Detriment, dispensable death and waste of numerous resources are the causes of over-medicalization. The aim of this scoping review was to explore influential factors on over medicalization in the world.

Methods: We did search in PubMed, Scopus, Cochrane, Ovid, Proquest as reliable databases. Articles that were investigated determinants of over medicalization in different themes were selected. All data entered in data extractions table and Meta synthesis method was used for qualitative research. Factors were grouped according to the musicalized subjects and categorized into three levels (personal, professional and social).

Results: Out of 5118 articles identified for the study, over 70 factors were extracted from 30 articles addressing factors affecting over medicalization in various subjects. Among the extracted factors, the social and professional factors were respectively more than personal factors.

Conclusion: Over-medicalization originates from a wide range of factors. Identifying potential influential factors in provision of unnecessary care is pivotal to eliminate the menace of this phenomenon. Extra social, political and cultural resources will be needed if the reported factors are to be tackled.

  • Over-medicalization
  • Medicalization
  • Social factors
  • Scoping review.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

http://dx.doi.org/10.1136/bmjopen-2016-015415.65

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