Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 4 8 2015 08 01 The Difficult Choice of “Not Doing”; Comment on “Quaternary Prevention, an Answer of Family Doctors to Overmedicalization” 559 560 3036 10.15171/ijhpm.2015.108 EN Giorgio Visentin Centro Studi E Ricerche Medicina Generale, Dueville, Italy Journal Article 2015 04 26 The article of Marc Jamoulle shows the importance of the contribution of general practitioners (GPs) in improving the quality and the efficiency of the health systems. Starting from the concept of quaternary prevention for reducing excessive costs in the preventive procedures, he suggests a change of paradigm in every daily activity of the GP in order to have a stronger ethical approach to the patient. This means spending more time in the consultation in order to better understand her/his real needs and share a common decision for minimizing the costs and solving the patient’s problems in agreement with her/his believes and values. https://www.ijhpm.com/article_3036_4b86ca48d90bd5f0978afa3a012503a4.pdf