Quaternary prevention: Difference between revisions
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The '''quaternary prevention''', concept coined by the Belgian [[general practitioner]] Marc Jamoulle,<ref>[http://docpatient.net/mj/IIMG_1986.pdf Jamoulle M. Information et informatisation en médecine générale. In: Berleur J, Labet-Maris Cl, Poswick RF, Valenduc G, Van Bastelaer Ph. Les informa-g-iciens. Namur (Belgique): Presses Universitaires de Namur; 1986. p.193-209.]{{dead link|date=July 2016 |bot=InternetArchiveBot |fix-attempted=yes }}</ref> |
The '''quaternary prevention''', concept coined by the Belgian [[general practitioner]] Marc Jamoulle,<ref>[http://docpatient.net/mj/IIMG_1986.pdf Jamoulle M. Information et informatisation en médecine générale. In: Berleur J, Labet-Maris Cl, Poswick RF, Valenduc G, Van Bastelaer Ph. Les informa-g-iciens. Namur (Belgique): Presses Universitaires de Namur; 1986. p.193-209.]{{dead link|date=July 2016 |bot=InternetArchiveBot |fix-attempted=yes }}</ref><ref>[http://docpatient.net/mj/P4_citations.htm Jamoulle M. About prevention; the Quaternary prevention. UCL. 2008]</ref><ref>[http://orbi.ulg.ac.be/bitstream/2268/177984/1/IJHPM29501422995400.pdf Jamoulle M. Quaternary prevention, an answer of family doctors to overmedicalization. International Journal of Health Policy and Management. 4-Feb-2015; 4:1–4.]</ref> |
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Quaternary prevention is the set of health activities to mitigate or avoid the consequences of unnecessary or excessive intervention of the [[health system]].<ref>[http://www.equipocesca.org/wp-content/uploads/2011/02/2004-06-la-prevencion-cuaternaria.pdf Gervás J. La prevención cuaternaria. OMC. 2004;(95):8.] {{webarchive |url=https://web.archive.org/web/20110726033754/http://www.equipocesca.org/wp-content/uploads/2011/02/2004-06-la-prevencion-cuaternaria.pdf |date=July 26, 2011 }}</ref> |
Quaternary prevention is the set of health activities to mitigate or avoid the consequences of unnecessary or excessive intervention of the [[health system]].<ref>[http://www.equipocesca.org/wp-content/uploads/2011/02/2004-06-la-prevencion-cuaternaria.pdf Gervás J. La prevención cuaternaria. OMC. 2004;(95):8.] {{webarchive |url=https://web.archive.org/web/20110726033754/http://www.equipocesca.org/wp-content/uploads/2011/02/2004-06-la-prevencion-cuaternaria.pdf |date=July 26, 2011 }}</ref> |
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== Explanation of term == |
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Marc Jamoulle divided medical situations into four quadrants based on if the patient was experiencing illness (i.e. if the patient experienced subjective poor health) and if the doctor had identified disease (constructed based on diagnostic criteria), with a different type of prevention happening in each: |
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# [[Preventive healthcare#Primary_prevention|Primary]] prevention when both illness and disease are absent |
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# [[Preventive healthcare#Secondary_prevention|Secondary]] prevention when illness is absent but disease is present |
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# [[Preventive healthcare#Tertiary_prevention|Tertiary]] prevention when both illness and disease are present |
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# Quaternary prevention when the patient is experiencing illness but there is no identified disease |
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Jamoulle noted that when the patient was experiencing illness but no specific disease had been identified that patient was particularly vulnerable to their condition being made worse by invasive or harmful diagnostic medical intervention. |
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This original explanation is more limited than the more general term listed in the Wonca International Dictionary for General/Family Practice, "action taken to identify patient at risk of overmedicalisation, to protect him from new medical invasion, and to suggest to him interventions, which are ethically acceptable".<ref name="Wonca dictionary">{{cite book |last1=Bentzen |first1=Niels |title=Wonca dictionary of general/family practice |date=2003 |publisher=Wonca International Classification Committee |location=[S.l.] |isbn=8788638227 |page=115 |url=http://www.ph3c.org/ph3c/docs/27/000092/0000052.pdf |access-date=30 May 2022}}</ref> |
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== See also == |
== See also == |
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{{Portal|Medicine}} |
{{Portal|Medicine}} |
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{{col div|colwidth=30em}} |
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* [[Bioethics]] |
* [[Bioethics]] |
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* [[Cascade effect]] |
* [[Cascade effect]] |
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* [[Defensive medicine]] |
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* [[Iatrogenesis]] |
* [[Iatrogenesis]] |
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* [[Medical ethics]] |
* [[Medical ethics]] |
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* [[Patient safety]] |
* [[Patient safety]] |
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* [[Preventive medicine]] |
* [[Preventive medicine]] |
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{{colend}} |
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== References == |
== References == |
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== Further reading == |
== Further reading == |
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* [https://web.archive.org/web/20110813065136/http://www.ima.org.il/imaj/ar00jula-1a.pdf Gofrit ON, Shemer J, Leibovici D, Modan B, Shapira SC. Quaternary prevention: a new look at an old challenge. Isr Med Assoc J. 2000;2(7):498-500.] |
* [https://web.archive.org/web/20110813065136/http://www.ima.org.il/imaj/ar00jula-1a.pdf Gofrit ON, Shemer J, Leibovici D, Modan B, Shapira SC. Quaternary prevention: a new look at an old challenge. Isr Med Assoc J. 2000;2(7):498-500.] |
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* [https://books.google.com/books?id=Yk5ORAzzYa0C |
* [https://books.google.com/books?id=Yk5ORAzzYa0C&dq=ortun&pg=PA223 Ortún V. Gestión clínica y sanitaria. De la práctica diaria a la academia, ida y vuelta. Barcelona: Elsevier/Masson; 2003. p.245] |
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* [http://www.uemo.org/members/official_documents/dwds08_2.htm UEMO, European Union of General Practitioners / Family Physicians, Santiago LM. Quaternary prevention. Document 2008/040, October 2008.]{{dead link|date=July 2016 |bot=InternetArchiveBot |fix-attempted=yes }} |
* [http://www.uemo.org/members/official_documents/dwds08_2.htm UEMO, European Union of General Practitioners / Family Physicians, Santiago LM. Quaternary prevention. Document 2008/040, October 2008.]{{dead link|date=July 2016 |bot=InternetArchiveBot |fix-attempted=yes }} |
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* [https://web.archive.org/web/20120317164646/http://www.equipocesca.org/wp-content/uploads/2009/03/prevention-lancet-final-2008.pdf Gérvas J, Starfield B, Heath I. Is clinical prevention better than cure? Lancet. 2008;372:1997-99.] |
* [https://web.archive.org/web/20120317164646/http://www.equipocesca.org/wp-content/uploads/2009/03/prevention-lancet-final-2008.pdf Gérvas J, Starfield B, Heath I. Is clinical prevention better than cure? Lancet. 2008;372:1997-99.] |
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* [http://docpatient.net/mj/P4_brasilia_2011.pdf Marc Jamoulle. Paradigm shift in Primary Care working fields. 11th congress of SBMFC, Brazilia, June 2011.] |
* [http://docpatient.net/mj/P4_brasilia_2011.pdf Marc Jamoulle. Paradigm shift in Primary Care working fields. 11th congress of SBMFC, Brazilia, June 2011.] |
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* [http://www.prospective-jeunesse.be/IMG/pdf/DSP60-JAMOULLE.pdf Marc Jamoulle. la prévention quaternaire, une tâche explicite du médecin généraliste. Prospective Jeunesse. 2012; 7–11.]{{dead link|date=July 2016 |bot=InternetArchiveBot |fix-attempted=yes }} |
* [http://www.prospective-jeunesse.be/IMG/pdf/DSP60-JAMOULLE.pdf Marc Jamoulle. la prévention quaternaire, une tâche explicite du médecin généraliste. Prospective Jeunesse. 2012; 7–11.]{{dead link|date=July 2016 |bot=InternetArchiveBot |fix-attempted=yes }} |
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* [http://www.camfic.cat/Docs/12_13/P4interviewnevejamoulle2012.pdf Julien Nève, Marc Jamoulle. Quaternary prevention, an explicit task of the physician. Oct 25, 2012.] |
* [https://web.archive.org/web/20130830105617/http://www.camfic.cat/Docs/12_13/P4interviewnevejamoulle2012.pdf Julien Nève, Marc Jamoulle. Quaternary prevention, an explicit task of the physician. Oct 25, 2012.] |
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* [http://equipocesca.org/new/wp-content/uploads/2012/12/QP-ancianos-Gervas-Rev-Esp-Geriatr-Gerontol-2012.pdf Gérvas J. Prevención cuaternaria en ancianos. Rev Esp Geriatr Gerontol. 2012; 47(6):266-9.] |
* [http://equipocesca.org/new/wp-content/uploads/2012/12/QP-ancianos-Gervas-Rev-Esp-Geriatr-Gerontol-2012.pdf Gérvas J. Prevención cuaternaria en ancianos. Rev Esp Geriatr Gerontol. 2012; 47(6):266-9.] |
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* [http://www.rbmfc.org.br/rbmfc/index Quaternary Prevention (P4). Revista Brasileira de Medicina de Família e Comunidade. 2015; 10(35).] |
* [http://www.rbmfc.org.br/rbmfc/index Quaternary Prevention (P4). Revista Brasileira de Medicina de Família e Comunidade. 2015; 10(35).] |
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Latest revision as of 00:03, 15 November 2024
| Quaternary prevention | |
|---|---|
| Purpose | identify patients at risk of overmedication |
The quaternary prevention, concept coined by the Belgian general practitioner Marc Jamoulle,[1][2][3]
Quaternary prevention is the set of health activities to mitigate or avoid the consequences of unnecessary or excessive intervention of the health system.[4]
Explanation of term
[edit]Marc Jamoulle divided medical situations into four quadrants based on if the patient was experiencing illness (i.e. if the patient experienced subjective poor health) and if the doctor had identified disease (constructed based on diagnostic criteria), with a different type of prevention happening in each:
- Primary prevention when both illness and disease are absent
- Secondary prevention when illness is absent but disease is present
- Tertiary prevention when both illness and disease are present
- Quaternary prevention when the patient is experiencing illness but there is no identified disease
Jamoulle noted that when the patient was experiencing illness but no specific disease had been identified that patient was particularly vulnerable to their condition being made worse by invasive or harmful diagnostic medical intervention.
This original explanation is more limited than the more general term listed in the Wonca International Dictionary for General/Family Practice, "action taken to identify patient at risk of overmedicalisation, to protect him from new medical invasion, and to suggest to him interventions, which are ethically acceptable".[5]
See also
[edit]
References
[edit]- ^ Jamoulle M. Information et informatisation en médecine générale. In: Berleur J, Labet-Maris Cl, Poswick RF, Valenduc G, Van Bastelaer Ph. Les informa-g-iciens. Namur (Belgique): Presses Universitaires de Namur; 1986. p.193-209.[permanent dead link]
- ^ Jamoulle M. About prevention; the Quaternary prevention. UCL. 2008
- ^ Jamoulle M. Quaternary prevention, an answer of family doctors to overmedicalization. International Journal of Health Policy and Management. 4-Feb-2015; 4:1–4.
- ^ Gervás J. La prevención cuaternaria. OMC. 2004;(95):8. Archived July 26, 2011, at the Wayback Machine
- ^ Bentzen, Niels (2003). Wonca dictionary of general/family practice (PDF). [S.l.]: Wonca International Classification Committee. p. 115. ISBN 8788638227. Retrieved 30 May 2022.
Further reading
[edit]- Gofrit ON, Shemer J, Leibovici D, Modan B, Shapira SC. Quaternary prevention: a new look at an old challenge. Isr Med Assoc J. 2000;2(7):498-500.
- Ortún V. Gestión clínica y sanitaria. De la práctica diaria a la academia, ida y vuelta. Barcelona: Elsevier/Masson; 2003. p.245
- UEMO, European Union of General Practitioners / Family Physicians, Santiago LM. Quaternary prevention. Document 2008/040, October 2008.[permanent dead link]
- Gérvas J, Starfield B, Heath I. Is clinical prevention better than cure? Lancet. 2008;372:1997-99.
- Marc Jamoulle. Paradigm shift in Primary Care working fields. 11th congress of SBMFC, Brazilia, June 2011.
- Marc Jamoulle. la prévention quaternaire, une tâche explicite du médecin généraliste. Prospective Jeunesse. 2012; 7–11.[permanent dead link]
- Julien Nève, Marc Jamoulle. Quaternary prevention, an explicit task of the physician. Oct 25, 2012.
- Gérvas J. Prevención cuaternaria en ancianos. Rev Esp Geriatr Gerontol. 2012; 47(6):266-9.
- Quaternary Prevention (P4). Revista Brasileira de Medicina de Família e Comunidade. 2015; 10(35).