International Journal of Health Policy and Management

International Journal of Health Policy and Management

Because of Science You Also Die...; Comment on “Quaternary Prevention, an Answer of Family Doctors to Over Medicalization”

Document Type : Commentary

Authors
Jorge Bernstein
Ricardo La Valle
Quaternary Prevention Commission, Argentina Federation of Family and General Medicine (FAMFyG); Working Group P4 WONCA-CIMF, Buenos Aires, Argentina
10.15171/ijhpm.2015.102
Abstract
The concept of quaternary prevention (P4) refers to the idea that medicine has acquired the ability to damage through the proper exercise. Family medicine or general practice has the duty of recovering the ethical values and the exercise of a profession with the doctor-patient relationship serving to people’s humanity. In the fourth Congress of Family and Community Medicine, held in Montevideo (Uruguay) last March 18-21, 2015, it was established the Working Group P4 WONCA-CIMF with communication tools included as constitutive part of P4. It was also remarked that we should be wary of attempts to denature the P4, diminishing its ethic value and limiting it to a reason for cost control.
Keywords
Quaternary Prevention (P4)
Evidence-Based Medicine
Ethics
Preventive Medicine
Family Physicians
Communication Tools
Subjects
  1. Jamoulle M. Information et informatisation en médecine générale (Computer and computerisation in general practice). Namur, Belgium: Press Univ Namur; 1986:193-209. http://hdl.handle.net/2268/170822.
  2. Jamoulle M, Roland M. Quaternary prevention. Hongkong: Wonca congress proceedings; 1995.  http://hdl.handle.net/2268/173994.
  3. Jamoulle M. The four duties of family doctors: quaternary prevention - first, do no harm. Hong Kong Pract 2014;36:72-77.
  4. 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
  5. Foucault M.La crisis de la medicina o la crisis de la antimedicina (The crisis of medicine or the antimedicine crisis). Educ Med Salud 1976;10(2):156.
  6. Márquez S, Meneu R. La medicalización de la vida y sus protagonistas. Gestión Clínica y Sanitaria 2003;5(2):47-53.
  7. Moynihan R, Heath I, Henry D. Selling sickness: the pharmaceutical industry and disease mongering. BMJ 2002;324:886-891. doi:10.1136/bmj.324.7342.886
  8. Angell M. The Truth About the Drug Companies: How They Deceive Us and What to Do About It. New York: Random House; 2004.
  9. Smith R. Medical Journals are an extension of the marketing arm of pharmaceutical companies. PloS Med 2005;2 (5):364-366. doi:10.1371/journal.pmed.0020138
  10. Smith R. Medical journals and pharmaceutical companies: uneasy bedfellows. BMJ 2003;326:1202-1205. doi:10.1136/bmj.326.7400.1202
  11. Moynihan R. Who pays for the pizza? Redefining the relationships between doctors and drug companies. 1: Entanglement. BMJ 2003;26:1189-1192. doi:10.1136/bmj.326.7400.1189
  12. Menéndez E. El modelo médico y la salud de los trabajadores (The Medical Model and Worker's Health). Salud Colectiva 2005;1(1):9-32.
  13. La Valle R. Sobre ciencia, epistemología y medicina. Revista del Hospital Italiano2013;32(2):51-52.
  14. La Valle R. Sobre la forma actual de ser médico. Revista del Hospital Italiano 2013;33(2):73-76.

  • Received Date 09 April 2015
  • Revised Date 20 May 2015
  • Accepted Date 18 May 2015
  • First Published Date 01 September 2015
  • Published Date 01 September 2015