Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2015 May 17;4(8):561-3.
doi: 10.15171/ijhpm.2015.99.

Care and Do Not Harm: Possible Misunderstandings With Quaternary Prevention (P4) Comment on "Quaternary Prevention, an Answer of Family Doctors to Over Medicalization"

Daniel Widmer  1
Affiliations
Comment

Care and Do Not Harm: Possible Misunderstandings With Quaternary Prevention (P4) Comment on "Quaternary Prevention, an Answer of Family Doctors to Over Medicalization"

Daniel Widmer. Int J Health Policy Manag. .

Abstract

The discussion between general practitioners (GPs) and healthcare delivery organizations necessitates a common language. The presentation of the 4 types of GP's activities, opens dialogue but can lead to possible misunderstandings between the micro- and macro-level of the healthcare system. This commentary takes 4 examples: costs reduction by P4, priority of beneficence or nonmaleficence, role of evidence-based medicine (EBM) and use of a constructivist model.

Keywords: Evidence-Based Practice; Family Medicine; Medical Ethics; Medicalization; Specific Training.

PubMed Disclaimer

Comment on

References

    1. 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. - DOI - PMC - PubMed
    1. Balint M. The Doctor, his Patient and the Illness. Edinburgh: Churchill Livingstone; 2000.
    1. Schön DA. The Reflective Practitioner: How Professionals Think in Action. New York: Basic Books; 1983. 374
    1. Lemon T, Smith R. Consultation content not consultation length improves patient satisfaction. J Family Med Prim Care. 2014;3(4):334. doi: 10.4103/2249-4863.148102. - DOI - PMC - PubMed
    1. Balint E, Norell JS. Six Minutes for the Patient; Interactions in General Practice Consultation. London: Tavistock Publications; 1973. 182

LinkOut - more resources