Genealogical analysis of Quaternary Prevention: between the use of Evidence-Based Medicine and care reformulation in Primary Health Care

被引：0
|
作者：
de Andrade, Henrique Sater [1 ]
Carvalho, Sergio Resende [1 ]
机构：
[1] Univ Estadual Campinas, Fac Ciencias Med, Dept Saude Colet, R Tessalia Vieira Camargo 126, BR-13083887 Campinas, SP, Brazil
来源：
CIENCIA & SAUDE COLETIVA | 2023年 / 28卷 / 07期
关键词：
Quaternary Prevention; Evi-dence-Based Medicine; Risk; Primary Health Care; Family and Community Medicine;
D O I：
10.1590/1413-81232023287.13292022
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
We conducted a genealogical analysis of quaternary prevention, an instrument of pri-mary health care to address overmedicalization and iatrogenesis, based on related statements and interviews with the creators of this concept. This tool has been used in the reformulation of care and the doctor-patient relationship, but limited to the risk-benefit assessment by using current scien-tific evidence. In this study, we analyze the par-adoxes of evidence-based medicine (EBM) and discuss the relationship of EBM and quaternary prevention and primary health care (PHC). Final-ly, we suggest questioning the truth of the evidence for the development of other health paradigms.
引用
收藏
页码：2109 / 2117
页数：9
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