This Week in the Journal

被引：2377

作者：

de Koning, H. J. ^{[1
]}

van der Aalst, C. M. ^{[1
]}

de Jong, P. A. ^{[5
]}

Scholten, E. T. ^{[7
,16
]}

Nackaerts, K. ^{[17
]}

Heuvelmans, M. A. ^{[10
]}

Lammers, J. -W. J. ^{[6
]}

Weenink, C. ^{[8
]}

Yousaf-Khan, U. ^{[1
]}

Horeweg, N. ^{[9
]}

van't Westeinde, S. ^{[3
]}

Prokop, M. ^{[15
]}

Mali, W. P. ^{[5
]}

Hoesein, F. A. A. Mohamed ^{[5
]}

van Ooijen, P. M. A. ^{[11
]}

Aerts, J. G. J. V. ^{[2
]}

den Bakker, M. A. ^{[4
]}

Thunnissen, E. ^{[16
]}

Verschakelen, J. ^{[18
]}

Vliegenthart, R. ^{[12
]}

Walter, J. E. ^{[10
,14
]}

ten Haaf, K. ^{[1
]}

Groen, H. J. M. ^{[13
]}

Oudkerk, M. ^{[10
,14
]}

机构：

[1] Erasmus MC Univ Med Ctr Rotterdam, Dept Publ Hlth, Doctor Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands

[2] Erasmus MC Univ Med Ctr Rotterdam, Dept Pulmonol, Rotterdam, Netherlands

[3] Maasstad Hosp, Dept Pulmonol, Rotterdam, Netherlands

[4] Maasstad Hosp, Dept Pathol, Rotterdam, Netherlands

[5] Univ Med Ctr Utrecht, Dept Radiol, Utrecht, Netherlands

[6] Univ Med Ctr Utrecht, Dept Pulmonol, Utrecht, Netherlands

[7] Spaarne Gasthuis, Dept Radiol, Haarlem, Netherlands

[8] Spaarne Gasthuis, Dept Pulmonol, Haarlem, Netherlands

[9] Leiden Univ, Med Ctr, Dept Radiat Oncol, Leiden, Netherlands

[10] Univ Groningen, Univ Med Ctr Groningen, Fac Med Sci, Groningen, Netherlands

[11] Univ Groningen, Univ Med Ctr Groningen, Data Sci Ctr Hlth, Groningen, Netherlands

[12] Univ Groningen, Univ Med Ctr Groningen, Dept Radiol, Groningen, Netherlands

[13] Univ Groningen, Univ Med Ctr Groningen, Dept Pulmonol, Groningen, Netherlands

[14] Inst DiagNost Accuracy, Groningen, Netherlands

[15] Radboud Univ Nijmegen, Med Ctr, Dept Radiol, Nijmegen, Netherlands

[16] Univ Med Ctr Amsterdam, Dept Pathol, Amsterdam, Netherlands

[17] Katholieke Univ Leuven, Univ Hosp, Dept Pulmonol, Leuven, Belgium

[18] Katholieke Univ Leuven, Univ Hosp, Dept Radiol, Leuven, Belgium

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2020年 / 382卷 / 06期

关键词：

LUNG-CANCER PROBABILITY; SCREENING TRIAL; DEATH VERIFICATION; CT; MORTALITY; NODULES; PARTICIPANTS; POPULATION; MANAGEMENT; UNIFORM;

D O I：

10.1056/NEJMoa1911793

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Health care's institutional goals of abbreviating hospital stays and accelerating clinic visits are feeding professional loneliness, and meaningful advances in technology have levied a significant toll in the form of separation from patients and colleagues. The transition away from routine interaction with patients and colleagues toward more individual activities has contributed to loneliness and burnout. Addressing physicians' loneliness in the 21st century requires finding innovative ways to interact with each other. In recent years, health care leaders have increasingly turned to "nudges" to influence health-related behaviors. But harmful health and health care behaviors often arise in circumstances that give us . . .

引用

页码：503 / 513

页数：11

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