Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention

Marc Jamoulle; Michel Roland; Jong-Myon Bae; Bruno Heleno; Giorgio Visentin; Gustavo Diniz Ferreira Gusso; Maciek Godycki-Ćwirko; Miguel Pizzanell; Patrick Ouvrard; Ricardo La Valle; Luis Filipe Gomes; Daniel Widmer; Jorge Bernstein; Mariana Mariño; Hamilton Lima Wagner; Ilario Rossi

doi:10.5712/rbmfc13(40)1860

Autores

Marc Jamoulle MD, PhD. Family Physician, researcher, University of Liège (ULg), Belgium; University Isalud, Buenos Aires, Argentina.
Michel Roland MD, PhD. Family Physician. Emeritus professor of family medicine, Free university of Brussels (ULB). President of Médecins du Monde, Belgium
Jong-Myon Bae MD, PhD. Professor of preventive medicine, Jeju National University, South-Korea
Bruno Heleno MD, PhD. Family doctor, Lumiar Health Center. Assistant Professor, New University of Lisbon, Portugal
Giorgio Visentin MD. Family Physician, Specialist in emergency medicine. Centro Studi e Ricerche in Medicina Generale. Milan, Italy
Gustavo Diniz Ferreira Gusso Universidade de São Paulo (USP). São Paulo, SP
Maciek Godycki-Ćwirko MD, PhD. General Practitioner, Professor, Centre for Family & Community Medicine, Division of Public Health, Faculty of Medical Sciences, Medical University of Lodz, Poland
Miguel Pizzanell MD, MSc. Family Physician, Assistant professor of Family and Community Medicine, University of the Republic (UDELAR), Florida, Uruguay. President of the Special Interest Group of WONCA on Quaternary prevention and overmedicalization
Patrick Ouvrard MD. Family Physician, Director of research of the French society for teaching in Medicine (SFTG). Paris, France. Vice-president of European Union of General Practitioners (UEMO)
Ricardo La Valle MD, PhD. Family physician. Department of Family Medicine. University of Buenos Aires. National University of Hurlingham. Argentina
Luis Filipe Gomes MD, PhD. Family Physician. Emeritus professor of Family Medicine, Faro University. Portugal
Daniel Widmer MD. Family Physician. Lecturer in Family Medicine, University of Lausanne. Switzerland. Vice-president of European Union of General Practitioners (UEMO)
Jorge Bernstein MD. Psychiatrist, president of the Quaternary Prevention Commission of the Argentine Federation of General and Family Medicine (FAMFyG), President of the Chapter of Quaternary Prevention of the Association of Psychiatrists of Argentina. Buenos Aires.Argentina
Mariana Mariño MD.MSc. Sociedad Argentina de Medicina Internal General (SAMIG). Ciudad de Buenos Aires, Argentina
Hamilton Lima Wagner MD. Masters in Surgery. Family and Community Medicine, Preceptor of the residency program in Family and Community Medicine at Health Secretariat of Curitiba, Brazil
Ilario Rossi MA. PhD. Anthropologist, Professor, THEMA - Institute of Social Sciences, Faculty of Social and Political Sciences, University of Lausanne (UNIL), Switzerland

DOI:

https://doi.org/10.5712/rbmfc13(40)1860

Palavras-chave:

Prevenção Quaternária, Ética Profissional, Medicina Baseada em Evidências, Medicina Geral

Resumo

O conceito de prevenção quaternária, resultante de uma reflexão sobre a relação médico-paciente, é apresentado como uma renovação da antiga exigência ética: primeiro, o médico não deve causar nenhum dano; segundo, o médico deve se controlar. A origem do conceito, o seu endosso pela Organização Mundial de Médicos de Família (WONCA) e a União Europeia de Médicos de Clínica Geral (UEMO), a sua divulgação e os debates a que deu origem, são apresentados por um painel de autores de 10 países. Este artigo baseia-se na bioética da prevenção, na importância do ensino da prevenção quaternária e na medicina factual, nas implicações sociais e políticas do conceito de prevenção quaternária e nas suas dimensões antropológicas.

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Biografia do Autor

Gustavo Diniz Ferreira Gusso, Universidade de São Paulo (USP). São Paulo, SP

Doutor em Ciências Médicas

Professor da Disciplina de Clinica Geral e Propedêutica da Universidade de São Paulo

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