<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-07-23T19:37:10Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/22509" metadataPrefix="mets">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/22509</identifier><datestamp>2024-11-29T03:54:54Z</datestamp><setSpec>com_20.500.12105_15322</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_16967</setSpec></header><metadata><mets xmlns="http://www.loc.gov/METS/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" ID="&#xa;&#x9;&#x9;&#x9;&#x9;DSpace_ITEM_20.500.12105-22509" TYPE="DSpace ITEM" PROFILE="DSpace METS SIP Profile 1.0" xsi:schemaLocation="http://www.loc.gov/METS/ http://www.loc.gov/standards/mets/mets.xsd" OBJID="&#xa;&#x9;&#x9;&#x9;&#x9;hdl:20.500.12105/22509">
   <metsHdr CREATEDATE="2026-07-23T21:37:10Z">
      <agent ROLE="CUSTODIAN" TYPE="ORGANIZATION">
         <name>Repisalud</name>
      </agent>
   </metsHdr>
   <dmdSec ID="DMD_20.500.12105_22509">
      <mdWrap MDTYPE="MODS">
         <xmlData xmlns:mods="http://www.loc.gov/mods/v3" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-1.xsd">
            <mods:mods xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-1.xsd">
               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
                  </mods:role>
                  <mods:namePart>Coll Benejam, Josep Maria</mods:namePart>
               </mods:name>
               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
                  </mods:role>
                  <mods:namePart>Bravo-Toledo, Rafael</mods:namePart>
               </mods:name>
               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
                  </mods:role>
                  <mods:namePart>Pilar Marcos-Calvo, Maria</mods:namePart>
               </mods:name>
               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
                  </mods:role>
                  <mods:namePart>Pilar Astier-Pena, Maria</mods:namePart>
               </mods:name>
               <mods:extension>
                  <mods:dateAccessioned encoding="iso8601">2024-09-06T09:53:36Z</mods:dateAccessioned>
               </mods:extension>
               <mods:extension>
                  <mods:dateAvailable encoding="iso8601">2024-09-06T09:53:36Z</mods:dateAvailable>
               </mods:extension>
               <mods:originInfo>
                  <mods:dateIssued encoding="iso8601">2018-11</mods:dateIssued>
               </mods:originInfo>
               <mods:identifier type="citation">Coll Benejam JM, Bravo-Toledo R, Marcos-Calvo MP, Astier-Pena MP. Impact of over diagnosis and over treatment on the patient, the health system and society. Aten Prim. 2018 Nov;50(Suppl 2):86-95.</mods:identifier>
               <mods:identifier type="doi">10.1016/j.aprim.2018.08.004</mods:identifier>
               <mods:identifier type="e-issn">1578-1275</mods:identifier>
               <mods:identifier type="issn">0212-6567</mods:identifier>
               <mods:identifier type="journal">Atencion Primaria</mods:identifier>
               <mods:identifier type="other">http://hdl.handle.net/20.500.13003/17277</mods:identifier>
               <mods:identifier type="pubmedID">30563626</mods:identifier>
               <mods:identifier type="pui">L2001292323</mods:identifier>
               <mods:identifier type="scopus">2-s2.0-85056645723</mods:identifier>
               <mods:identifier type="uri">https://hdl.handle.net/20.500.12105/22509</mods:identifier>
               <mods:identifier type="wos">455490200012</mods:identifier>
               <mods:abstract>The medical activity displays a set of skills aimed at improving the health status of people. In this way, diagnoses are made, choices of tests and treatments are made, and decisions are made about what to do and what not to do that affect the lives of patients. In this article, we propose a reflection on over diagnosis and over treatment in relation to the factors that promote it and the impact they have on society, on the functioning of the health system and also directly on patients. Finally, we make some proposals on how to address this overuse considering that primary care is a privileged place to adapt and minimize the impact of the actions of the health system on the health of citizens and reduce the incidents of patient safety linked to the over diagnosis and inappropriate use of tests and treatments that do not add value to the health of patients.</mods:abstract>
               <mods:language>
                  <mods:languageTerm authority="rfc3066">spa</mods:languageTerm>
               </mods:language>
               <mods:accessCondition type="useAndReproduction"/>
               <mods:subject>
                  <mods:topic>Overdiagnosis</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Overtreatment</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Patient safety</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Quaternary prevention</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Healthcare system</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>Impact of over diagnosis and over treatment on the patient, the health system and society</mods:title>
               </mods:titleInfo>
               <mods:genre>research article</mods:genre>
            </mods:mods>
         </xmlData>
      </mdWrap>
   </dmdSec>
   <structMap LABEL="DSpace Object" TYPE="LOGICAL">
      <div TYPE="DSpace Object Contents" ADMID="DMD_20.500.12105_22509"/>
   </structMap>
</mets></metadata></record></GetRecord></OAI-PMH>