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The Tale of Quaternary Prevention: How Partnering with Patients Leads to a New Approach to Prevention
Jamoulle, Marc; Roland, Michel; Pizzanelli, Miguel et al.
202315th Geneva conference on person centered medicine.


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Keywords :
family medicine; quaternary prevention; prevention
Abstract :
[en] In the mid-20th century, clinical prevention mainly focused on the disease and its progression. How- ever, the emergence of person-centered care, physician-patient partnerships, and increased awareness of the potential harms of medicine has led to a new concept of prevention. This concept, which is already widely taught in Family Medicine and available in multiple languages, views medicine as a co-construction between patients and doctors, prioritizes the partnership relationship between the physician and the pa-tient, and acknowledges that medicine itself can be a potential source of health problems. The authors suggest revising the Medical Subject Heading (MeSH) terminology to include the four proposals of the World Organization of Family Doctors (WONCA), including quaternary prevention under its original definition that implies an ethical stance and a patient-doctor partnership, rather than just a quality assurance approach.
Disciplines :
General & internal medicine
Public health, health care sciences & services
Author, co-author :
Jamoulle, Marc  ;  Université de Liège - ULiège > HEC Liège : UER > UER Opérations : Systèmes d'information de gestion
Roland, Michel;  ULB - Université Libre de Bruxelles [BE] > Médecine générale
Pizzanelli, Miguel;  University of the Republic, Montevideo, Uruguay > General practice,
La Valle, Ricardo;  Hospital Italiano, Buenos Aires, Argentina. > General practice
Gomes, Felipe;  University of Algarve, Portugal. > Faculty of Medicine
Ouvrard, Patrick;  European Union of General Practitioners - UEMO > Vice-President
Widmer, Daniel;  University of Lausanne, Lausanne, Switzerland. > General practice
Gusso, Gustavo;  University of Sao-Paulo, Sao-Paulo, Brazil > Clinical Practice
Language :
Title :
The Tale of Quaternary Prevention: How Partnering with Patients Leads to a New Approach to Prevention
Alternative titles :
[fr] Histoire de la prévention au Quaternaire : Comment le partenariat avec les avec les patients conduit à une nouvelle approche de la prévention
Publication date :
03 April 2023
Number of pages :
Event name :
15th Geneva conference on person centered medicine.
Event organizer :
International Network of Person Centered Medicine
Event place :
Geneve, Switzerland
Event date :
3-5 avril 2023
By request :
Audience :
Available on ORBi :
since 28 March 2023


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