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Philosophical roots of Quaternary Prevention

Datos Bibliográficos

ID19538801
AutoresDaniel Widmer (0000-0003-0207-0136, Centre universitaire de médecine générale et santé publique, Lausanne, autor de correspondencia)
Año2015
Volumen10
Número35
Páginas1-8
Fecha de publicación2015-06-24
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaRevista Brasileira de Medicina de Família e Comunidade (JOURNAL)
Identificadores de la revistaISSN: 1809-5909 • E-ISSN: 2179-7994
EditorialSociedade Brasileira de Medicina de Familia e Comunidade (SBMFC) (PUBLISHER)
DOI10.5712/rbmfc10(35)1128
OpenAlexW2141231660
IdiomaEN
Citas recibidas1
Referencias citadas16

This article explores two philosophical dimensions of quaternary prevention since it represents the family doctors’ response to overmedicalization. The first dimension refers to the theory of knowledge and the second to the theory of action. Despite their interconnectedness, they are addressed separately. Firstly, in the theories of knowledge (Epistemology) we argue that the positivism of Evidence-Based Medicine (EBM), so useful to select good practices, should be balanced against critical vision of the use of EBM coupled with a constructivist view through the narrative-based medicine. Secondly, in the theory of action (Ethics) we argue that the non-maleficence principle (primum non nocere) needs to be balanced by the beneficence principle. The latter is the primary medical obligation and doctors should cultivate this practical wisdom. Finally, some aspects of P4’s future challenges are discussed such as health inequalities, interprofessional collaboration, responsibility, managerialism, and the integrative medicine, where a philosophical position should be considered

Autonomy · Beneficence · Engineering ethics · Epistemology · Narrative · Obligation · Political science · Positivism · Sociology · Child and Adolescent Health · Healthcare cost, quality, practices · Law · Philosophy · Primary Care and Health Outcomes

  • Quaternary prevention

    Open Access•Miguel Andino Depallens, 敏 北村 et al.•Cadernos de Saude Publica•2020

  • The Virtues In Medical Practice

    Edmund D Pellegrino, David C Thomasma•The virtues in medical practice•1993

  • The reflective practitioner

    Donald A Schon•The reflective practitioner•1991

  • Borderline Personality Organization

    Open Access•Otto F Kernberg, Otto Kernberg•Journal of the American…•1967

  • Biomedicine, holism and general medical practice

    Open Access•Kath Checkland, Stephen Harrison et al.•Sociology of Health & Illness•2008

  • The impact of pay-for-performance on professional boundaries in UK general practice

    Open Access•Suzanne Grant, Guro Huby et al.•Sociology of Health & Illness•2009

Obras citantes distintas1
Citas por año0,17
Intervalo de citas2020 - 2020 (1)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 1
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