Carta Acesso aberto Revisado por pares

Quaternary prevention: an evidence-based concept aiming to protect patients from medical harm

2019; Royal College of General Practitioners; Volume: 69; Issue: 689 Linguagem: Inglês

10.3399/bjgp19x706913

ISSN

1478-5242

Autores

Carlos Martins, Maciek Godycki-Ćwirko, Bruno Heleno, John Brodersen,

Tópico(s)

Palliative Care and End-of-Life Issues

Resumo

In their recent article 'Quaternary prevention: a balanced approach to demedicalisation', 1 Norman and Tesser (N&T) presented Kuehlein et al's original definition of quaternary prevention as: 'An action taken to identify a patient at risk of over-medicalization, to protect him from new medical invasion, and to suggest to him interventions which are ethically acceptable.' 2 They concluded that this definition is more comprehensive than a new definition recently proposed by Brodersen et al: 'Action taken to protect individuals (persons/ patients) from medical interventions that are likely to cause more harm than good.' 3Here we elaborate further on this new definition that we strongly support and have already put into a general practice setting.

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