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- Title
Genealogical analysis of Quaternary Prevention: between the use of Evidence-Based Medicine and care reformulation in Primary Health Care.
- Authors
de Andrade, Henrique Sater; Carvalho, Sergio Resende
- Abstract
We conducted a genealogical analysis of quaternary prevention, an instrument of primary 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 scientific evidence. In this study, we analyze the paradoxes of evidence-based medicine (EBM) and discuss the relationship of EBM and quaternary prevention and primary health care (PHC). Finally, we suggest questioning the truth of the evidence for the development of other health paradigms.
- Subjects
COMMUNITY health services; PRIMARY health care; EVIDENCE-based medicine; PHYSICIAN-patient relations; FAMILY medicine
- Publication
Revista Ciência & Saúde Coletiva, 2023, Vol 28, Issue 7, p2109
- ISSN
1413-8123
- Publication type
Article
- DOI
10.1590/1413-81232023287.13292022EN