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The challenge of implementing Less is More medicine : a european perspective

Kherad, Omar; Peiffer-Smadja, Nathan; Karlafti, Lina; Lember, Margus; Aerde, Nathalie Van; Gunnarsson, Orvar; Baicus, Cristian; Vieira, Miguel Bigotte

The concept of Less is More medicine emerged in North America in 2010. It aims to serve as an invitation to recognize the potential risks of overuse of medical care that may result in harm rather than in better health, tackling the erroneous assumption that more care is always better. In response, several medical societies across the world launched quality-driven campaigns (“Choosing Wisely”) and published “top...


Participatory Syndromic Surveillance of Influenza in Europe

Guerrisi, Caroline; Turbelin, Clément; Blanchon, Thierry; Hanslik, Thomas; Bonmarin, Isabelle; Levy-Bruhl, Daniel; Perrotta, Daniela; Paolotti, Daniela

The growth of digital communication technologies for public health is offering an unconventional means to engage the general public in monitoring community health. Here we present Influenzanet, a participatory system for the syndromic surveillance of influenza-like illness (ILI) in Europe. Through standardized online surveys, the system collects detailed profile information and self-reported symptoms volunteere...


The representativeness of a European multi-center network for influenza-like-il...

Cantarelli, Pietro; Debin, Marion; Turbelin, Clément; Poletto, Chiara; Blanchon, Thierry; Falchi, Alessandra; Hanslik, Thomas; Bonmarin, Isabelle

The Internet is becoming more commonly used as a tool for disease surveillance. Similarly to other surveillance systems and to studies using online data collection, Internet-based surveillance will have biases in participation, affecting the generalizability of the results. Here we quantify the participation biases of Influenzanet, an ongoing European-wide network of Internet-based participatory surveillance sy...


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