The Difficult Choice of “Not Doing”; Comment on “Quaternary Prevention, an Answer of Family Doctors to Overmedicalization”

Document Type : Commentary

Author

Centro Studi E Ricerche Medicina Generale, Dueville, Italy

Abstract

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.

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References

Jamoulle M. Quaternary prevention, an answer of family doctors to overmedicalization. Int J Health Policy Manag. 2015;4(2):61-64. doi:10.15171/ijhpm.2015.24
Chinitz DP, Rodwin VG. On Health Policy and Management (HPAM): mind the theory-policy-practice gap. Int J Health Policy Manag. 2014;3(7):361-363. doi:10.15171/ijhpm.2014.122
Freeman GK, Horder JP, Howie JG, et al. Evolving general practice consultation in Britain: issues of length and context. BMJ. 2002;324(7342):880-802.
Siegel JE. Recommendations for reporting cost-effectiveness Analyses. JAMA. 1996;276 (16):1339-1341.
Ballini L. L’iniziativa Choosing Wisely® rilancia la scelta ragionata di medici e pazienti. Politiche Sanitarie. 2012;3(4):253-256.
 

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