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

Bernstein, Jorge; Valle, Ricardo La

doi:10.15171/ijhpm.2015.102

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…[ 6 ] The combination of media, pharmaceutical industries, and physicians can create doubts and concerns about health in even the healthiest people. [ 7 ] Healthcare has been contaminated by market-oriented policies that increase the provision of unnecessary services by creating new diseases. In this situation, diseases are classified according to the industry's needs, and some asymptomatic conditions are considered diseases.…”

Section: Introductionmentioning

confidence: 99%

Presenting a quaternary prevention model for the rural family physician program in Iran with an interpretive structural modeling approach

Hekmat,

GhorbaniNia,

Dehnavieh

et al. 2023

Int J Prev Med

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Background: Due to its ethical approach and its protection of patients and their interests, quaternary prevention can increase the quality-of-service provision and decrease costs and the wastage of resources. The present study used interpretive structural modeling (ISM) to classify the effective factors and determine a quaternary prevention model for Iran's Rural Family Physician Program. Methods: This study was a qualitative study with an ISM approach. Twenty-five health system experts and faculty members participated in the study. The interrelationships between the factors were determined using ISM, and after classification, the driving and dependence power of the factors were specified using MICMAC analysis. Results: The 20 factors were classified into five levels. The results indicated that patient interest and vulnerable groups had the highest effectiveness, and officials' and policymakers' commitment to providing serious support for family physicians had the highest affectability. The factors were placed into the two groups of linkage and dependence based on the MICMAC analysis. Conclusions: The new technologies are costly and sometimes only suitable for a specific group of patients. Costs and the issues of induced demand and defensive medicine necessitate a different view of health service distribution. The preventive and strategic view and the comprehensiveness of family physician services make quaternary prevention possible by providing high-risk and vulnerable groups with essential services based on patient needs and conditions with more benefit than harm.

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Section: Introductionmentioning

confidence: 99%

Presenting a quaternary prevention model for the rural family physician program in Iran with an interpretive structural modeling approach

Hekmat,

GhorbaniNia,

Dehnavieh

et al. 2023

Int J Prev Med

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The quaternary prevention in the work of primary health care physicians: literature review

Srećković¹,

Knežević²,

Jandrić-Kočić³

2023

Med gl Spec bol štit Zlatibor

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The concept of quaternary prevention was integrated in 1999. into the international WONCA vocabulary as actions taken to identify patients at risk of overprescribing drugs and diagnostic procedures that would do them more harm than good. The aim was to determine the place and role of quaternary prevention in primary care. The papers published until 31.12.2022. have been analyzed. We searched Medline, PubMed, Cochrane Library, Scopus, Google Scholar, Science Direct, Mendeley, Serbian medical journals, books, strategies, and doctoral theses. The terms we used were: quaternary prevention, general medicine, overmedication, and diagnostic procedures. We restricted ourselves to works written in Serbian, English, and Croatian. Search has been performed from 01.09.2022. to 31.12.2022. Preferred Reporting Items for Systematic Review (PRISMA) scale parts were used to determine the validity of the papers collected. A total of 1899 papers were identified. We did not find meta-analyses, systematic literature reviews, and randomized studies. A total of 194 were analyzed. Highlighted as relevant 36. Quaternary prevention in primary care refers to the overuse of radiological and laboratory examinations, antibiotics, screening, individual patient access, good communication, reliance on evidence-based medicine, the workload in teams of selected doctors, and prompt consent to patient requests. Some sick patients are undiagnosed, concerned about their health, with functional problems, psychosomatic disorders, and unusual behavior during illness. Quaternary prevention has a place in breast and prostate cancer screening, immunization, mental health and osteoporosis drug marketing, hypertension, prediabetes, and dyslipidemia, a private health insurance program, and the use of high-resolution diagnostic technology. The most powerful way to avoid unnecessary medical procedures is to consistently apply evidence-based medicine.

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

Cited by 2 publications

References 6 publications

Presenting a quaternary prevention model for the rural family physician program in Iran with an interpretive structural modeling approach

Presenting a quaternary prevention model for the rural family physician program in Iran with an interpretive structural modeling approach

The quaternary prevention in the work of primary health care physicians: literature review

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