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These studies suggest that "DM" in medical terms can refer to Defensive Medicine, Disease Management, or Diabetes Mellitus.
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Defensive Medicine Definition and Origin
Defensive Medicine (DM) is a practice where medical professionals alter their clinical behavior primarily to avoid litigation rather than to benefit the patient. This concept originated in the USA in the early 1970s and has since spread to other continents, including Europe . The term was first publicly mentioned by the General Counsel of the American Medical Association in 1974, who provocatively suggested that avoiding all medical actions was the only way to prevent malpractice lawsuits.
Impact on Healthcare
The primary goal of DM is to prevent the risk of litigation by performing additional, often unnecessary, medical procedures or tests. This practice has been driven by the increasing number of medical negligence and malpractice lawsuits in recent decades . However, these redundant practices, induced by the threat of medical liability, are not aimed at patient benefit and are expected to artificially inflate healthcare costs .
Definition and Characteristics
Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by persistent hyperglycemia due to either insulin deficiency, insulin resistance, or a combination of both . This condition can be classified into several types, including Type 1 diabetes (immune-mediated), Type 2 diabetes (insulin resistance), gestational diabetes, and others caused by genetic defects, infections, or certain drugs.
Health Implications
The chronic hyperglycemia associated with diabetes mellitus leads to long-term systemic dysfunction and complications, affecting multiple organ systems. Effective management and regular follow-up with healthcare providers are crucial to prevent these complications.
Definition and Components
Disease Management (DM) is a systematic approach to healthcare that focuses on preventing and treating specific diseases through coordinated interventions and communications. This approach targets patients with chronic conditions, providing integrated services across organizational and professional boundaries, and utilizing evidence-based practices to improve health outcomes .
Implementation and Benefits
Implementing a DM program involves identifying a target population, assessing available resources, defining key performance indicators, and using scientific methods to evaluate the program's impact. Community pharmacists, due to their accessibility and involvement in drug therapy, play a significant role in DM programs. The goal is to enhance the quality of care and control healthcare costs effectively .
In medical terms, DM can refer to Defensive Medicine, Diabetes Mellitus, or Disease Management, each with distinct definitions and implications. Defensive Medicine focuses on litigation avoidance, Diabetes Mellitus is a chronic metabolic disorder, and Disease Management is a comprehensive approach to managing chronic diseases. Understanding these different contexts of DM is crucial for healthcare professionals and patients alike.
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