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. 2018;39(4):383-393.

[Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention]

[Article in French]
Affiliations
  • PMID: 30321004
Free article

[Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention]

[Article in French]
M Jamoulle et al. Rev Med Brux. 2018.
Free article

Abstract

The concept of quaternary prevention, resulting from a reflection on the doctor-patient relationship, is presented as a renewal of the ageold ethical requirement: first, a doctor must not harm; second, the doctor must control himself/herself. The origin of the concept, its endorsement by the World Organization of Family Doctors (WONCA) and the European Union of General Practitioners (UEMO), its dissemination, and the debates to which it has given rise, are presented by a panel of authors from 12 countries and 3 continents. This collective text deals more specifically with the ethics of prevention, the importance of teaching Quaternary prevention and Evidence Based Medicine, the social and political implications of the concept of quaternary prevention, and its anthropological dimensions.

Le concept de prévention quaternaire, issu d’une réflexion sur la relation médecin-patient, est présenté d’une part comme un renouvellement d’une exigence éthique séculaire ; d’abord ne pas nuire et d’autre part comme un plaidoyer pour un autocontrôle du médecin. L’origine du concept, son approbation par l’Organisation Mondiale des Médecins de Famille (WONCA) et l’Union Européenne des Médecins Omnipraticiens (UEMO), sa diffusion et les débats auxquels il a donné lieu, sont présentés par un panel d’auteurs de 12 pays et trois continents. Ce texte collectif traite plus spécifiquement de l’éthique de la prévention, de l’importance de l’enseignement de la prévention quaternaire et de la médecine factuelle, des implications sociales et politiques du concept de prévention quaternaire et de ses dimensions anthropologiques.

Keywords: Evidencebased medicine; General practice; Quaternary prevention.

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