Why P6 medicine needs clinical psychology and a trans-cultural approach

Bragazzi, Nicola Luigi; Puente, Giovanni Del

doi:10.4081/hpr.2013.896

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Does the consumer consider the positive benefits of vaccine only at a personal level, or do they consider the potential benefit in terms of protecting the family or working community? This aspect raises innumerable questions and testifies to the need to add 2 additional dimensions to the P4 approach to vaccines, namely, psycho-cognitive and public [47, 48].…”

Section: The Uptake Of Vaccines Is Participatorymentioning

confidence: 99%

Healthy Ageing and Vaccines: Application of the P4 Medicine Concept to Immunizations

Michel

Ecarnot

2021

Gerontology

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In today’s tormented world, it appears useful to take advantage of communication channels to promote life-course immunization and affirm its major role in healthy ageing. Instead of developing the argument of chronological age, we demonstrate the life-course principle here based on the P4 medicine concept. Are vaccines “preventive, personalized, predictive, and participatory?” Based on detailed analysis of research findings, we successively demonstrate the seminal role of vaccines on preventable infectious diseases, post-sepsis functional decline, non-communicable diseases (cardio-neuro-vascular, respiratory, and renal diseases), community protection, antimicrobial resistance, and perhaps even old-age dementia. Healthy ageing and the promotion of immunization are closely dependent on health literacy and provision of information by skilled health-care professionals. However, personal autonomy and individual freedom are influenced by psycho-cognitive hurdles (cultural approaches, beliefs, emotions, and behaviours), the opinions of the public/family/friends, and the increasing role of social media, which challenges scientific evidence. A similar phenomenon exists when dealing with the issue of healthy ageing, whose success depends greatly on life-course immunization.

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Section: The Uptake Of Vaccines Is Participatorymentioning

confidence: 99%

Healthy Ageing and Vaccines: Application of the P4 Medicine Concept to Immunizations

Michel

Ecarnot

2021

Gerontology

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“…23,24 These parameters are worthy being investigated and understood by the clinicians, since they could impact on patient's compliance and adherence to the therapy and to the clinical outcome. [25][26][27][28] Moreover, recently, medicine has shifted from a P0 (paternalistic and not patient-centered) model to a highly participatory and interactive P6 paradigm, in which psycho-cognitive aspects are considered and integrated into the bio-psycho-social framework, [29][30][31][32] whose natural evolution is called the bio-psycho-socialspiritual model. We have to consider that the six Ps stay for personalized, predictive, participatory, preventive, psycho-cognitive, and public, that is to say a holistic and highly integrated framework of health-care process.…”

Section: Chronic Kidney Diseasementioning

confidence: 99%

Chronic kidney disease, spirituality and religiosity: a systematic overview with the list of eligible studies

Bragazzi¹,

Puente²

2013

Health Psych Res

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Chronic Kidney Disease (CKD) has a tremendous psychological burden, which sometimes is overlooked or underestimated in the daily clinical routine practice, since in the health care process physicians prefer to focus on the objective aspects of the pathology. In this contribution, we make a systematic overview of the relationship between spirituality/religiosity and CKD, an emerging theme which only recently has raised interest from the scientific community despite its importance. We investigate different variables, axis and categories (from the quality of life to customer's satisfaction, treatment adherence and therapeutic alliance, clinical parameters, as well as overall survival, and coping strategies adopted by the patient). Moreover, we underpin the principal clinically relevant implications (like the possibility of psycho-therapeutic interventions based on the spiritual and religious attitudes of the patient) and we discuss the main gaps, methodological barriers and difficulties in the field, fostering and advocating further research and clinical studies. This last aspect, together with the quality assessment of the studies, will be further explored in the second part of the study.

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Why P6 medicine needs clinical psychology and a trans-cultural approach

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Cited by 2 publications

References 12 publications

Healthy Ageing and Vaccines: Application of the P4 Medicine Concept to Immunizations

Healthy Ageing and Vaccines: Application of the P4 Medicine Concept to Immunizations

Chronic kidney disease, spirituality and religiosity: a systematic overview with the list of eligible studies

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Why P6 medicine needs clinical psychology and a trans-cultural approach

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Cited by 2 publications

References 12 publications

Healthy Ageing and Vaccines: Application of the P4 Medicine Concept to Immunizations

Healthy Ageing and Vaccines: Application of the P4 Medicine Concept to Immunizations

Chronic kidney disease, spirituality and religiosity: a systematic overview with the list of eligible studies

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