{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:15:49Z","timestamp":1780359349394,"version":"3.54.1"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T00:00:00Z","timestamp":1663027200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>Studies and initiatives such as the \u201cChoosing wisely\u201d (CW) campaign emphasise evidence-based investigations and treatment to avoid overdiagnosis and overtreatment. The perception of the extent of medical overactivity among professionals and drivers behind are not well studied in the paediatric field.<\/jats:p><jats:sec><jats:title>Aim<\/jats:title><jats:p>We aimed to investigate the physicians\u2018 opinion and clarify the main drivers regarding medical overactivity in member countries of the European Academy of Paediatrics (EAP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this study, paediatricians, paediatric residents, primary care paediatricians, and family doctors treating children were surveyed in Norway, Lithuania, Ukraine, Italy, and Switzerland. Over-investigation was defined as \u201cdiagnostic work-up or referral that is unlikely to provide information which is relevant for a patient\u201d and overtreatment was defined as \u201ctreatment that does not benefit or can harm more than benefit the patient.\u201d The original questionnaire was developed in 2018 by a working group from the Norwegian Paediatric Association.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 1,416 medical doctors participated in the survey, ranging from 144 in Lithuania to 337 in Switzerland. 83% stated that they experienced over-investigation\/overtreatment, and 81% perceived this as a problem. The majority (83%) perceived expectations from family and patients as the most important driver for overtreatment in their country. Other drivers for overuse were use of national guidelines\/recommendations, worry for reactions, and reduction of uncertainty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the first study investigating knowledge and attitude toward medical overactivity in European countries. Despite different cultural and economic environments, the patterns and drivers of increased investigations and medicalisation are similar.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2022.945540","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T04:40:21Z","timestamp":1663044021000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":19,"title":["Overuse of medical care in paediatrics: A survey from five countries in the European Academy of Pediatrics"],"prefix":"10.3389","volume":"10","author":[{"given":"Lina","family":"Jankauskaite","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yevgenii","family":"Grechukha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin 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