 The study found that Spanish primary care professionals reported high levels of overuse due to patient pressure and defensive medicine practices. Patients often requested unnecessary tests or procedures, which led to professionals feeling pressured to comply with the requests. Professionals also felt that they had limited time to explain why certain tests or procedures were unnecessary, as well as a lack of knowledge about new medical advancements and treatments. Additionally, professionals reported that cost savings was not a convincing argument to dissuade patients from their requests. Furthermore, general practitioners reported higher levels of resistance to patient pressure than nurses and pediatricians. This article was authored by Jose Joaquin Mayra, Irene Carrillo, Carmen Silvestre, and others.