Published: 2025-12-09

Dealing with Overtreatment in Regional Politics: An Interview Study in Region Zealand, Denmark

Katrine Albrechtsen , Sara Ebbesen , Sarah Brandt , Alexandra Jønsson
European Journal of Health Policy, Humanization of Care and Medical Ethics
Section: Articles
DOI https://doi.org/10.21697/ejhp.0707.04

Abstract

Background: Overtreatment in healthcare is a growing concern, not only due to rising costs but also due to the potential harm to patients. This issue is particularly complex within political decision-making frameworks, where the expectations of citizens and the reality of resource limitations collide. In Region Zealand, Denmark, the challenges of overtreatment are amplified by a combination of high patient expectations, political pressures, and resource scarcity.

Aim: This study investigates how overtreatment is perceived and addressed by regional politicians in Region Zealand, focusing on the interplay between patient expectations, political decision-making, and healthcare resource management.

Methods: A qualitative study was conducted involving interviews with regional politicians, healthcare professionals, and patient representatives. Thematic analysis was used to identify the key factors influencing overtreatment and the way that these factors shape political decision-making in the healthcare sector.

Results: Three major themes emerged from the data: (1) the role of patient expectations in driving overtreatment, (2) political constraints and the complexity of decision-making, and (3) the influence that vocal citizens with many resources have on healthcare policies.

Conclusion: Addressing overtreatment requires a balanced approach that considers both the medical needs of patients and the broader political and economic context. The study highlights the need for differentiated healthcare policies that align with the varying needs of citizens in different regions.

Keywords:

overtreatment, health policy, political decision-making, patient expectations, defensive medicine, public healthcare systems, regional healthcare governance

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