Quaternary prevention

CISP Club Meeting / Lyon 2017

Miguel Pizzanelli, MD, Uruguay

Convenor of the WONCA Special Interest Group

On Quaternary Prevention & Overmedicalization

no

no

yes

yes

α

WONCA International Classification Committee. (2003). Wonca Dictionary of general/family practice. (N. Bentzen, Ed.) Maanedsskr. Copenhagen.

Taken from

Marc Jamoulle

presentation

International Quaternary

Prevention Movement

Conceptual Framework axes

Philosophy

of

Science Socio

Cultural

Political

Ethical

principles

Could be mass screenings

take over personal

autonomy? Finally, the

success of one Uruguayan

woman against mandatory

mammograms.

http://estancambiandolostiempos.blogspot.com.uy/2016/09/es-el-fin-de-una-lucha-mamografia.html

Pizzanelli Báez EM. Principios Éticos y Prevención Cuaternaria: ¿es posible no proteger el ejercicio del principio de autonomía?

Rev Bras Med Fam Comunidade. 2014;9(31):169-73. Disponible en: http://dx.doi.org/10.5712/rbmfc9(31)852

6

Luego de 4 años de

litigio el TCA establece

que la mamografia

NO puede ser

obligatoria

¡Una mujer uruguaya vence!

¿Y las demás?

http://estancambiandolostiempos.blogspot.com.uy/2016/09/es-el-fin-de-una-lucha-mamografia.html

Pizzanelli Báez EM. Principios Éticos y Prevención Cuaternaria: ¿es posible no proteger el ejercicio del principio de autonomía?

Rev Bras Med Fam Comunidade. 2014;9(31):169-73. Disponible en: http://dx.doi.org/10.5712/rbmfc9(31)852

7

1986 a 2016 / 30 years

2008/ Quaternary Prevention was set as central issue on the National

Health System in Brazil (3).

2009/ WONCA Europe Conference, Bâle. Woorkshop.

2011/ Equipo Cesca Barcelona Webinar.

8

2012/ Buenos Aires Seminar “Medicalización y Prevención

Cuaternaria”.

2013/ Workshop Brasil. National Conference.

2013/ Workshop Praga International WONCA Conference

9

1986 a 2016 / 30 years

2015/ Journal of Sociedad Brasileira Medicina de Familia e

Comunidade. International effort publishing / Papers from different

perspectives and languages:

https://www.rbmfc.org.br/rbmfc/issue/view/44

2015/ International Seminar in 4º Congreso Iberomericano de

Medicina Familiar y Comuntaria. Regional Conference with no

financial support of any industry.

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Iberomarica is leading a great world wide

Ligue of colleagues

12

13

Iberoamericqn Working groups and Networks: Argentine, Bolivia,

Brasil, Chile, Costa Rica, Colombia, Cuba, Ecuador, Perú, Uruguay.

Other countries: Germany, Belgium, Canada, Denmark, China, Spain,

France, United Kingdom, Luxembourg, India, Iran, Italy, Portugal,

Switserland, Tailand, Tunisia, Vietnam.

https://www.facebook.com/PrevencionCuaternaria/

https://www.facebook.com/prevquaternaria/

14@QuatPrev

NotasLoc@s / M@dNotes:

Giving colour to

Grey Literature:

https://notaslocasmadnotes.wordpress.com/

Independent non profit initiative

Indexing grey literatura with Q Codes and ICPC 2.

About the project: https://tinyurl.com/Proyecto-NotasLocas

Jamoulle, M., Resnick, M., Ittoo, A., Vander Stichele, R., Cardillo, E., Grosjean, J., … Vanmeerbeek, M. (2017). Indexing grey multilingualliterature in General Practice in the era of Semantic Web. Retrievedfrom http://orbi.ulg.ac.be/handle/2268/210490

Blog:

https://prevencioncuaternaria.wordpress.com/

blog

http://www.ph3c.org/P4

P4 group in the Wonca

Classification Committee

Thank you for the opportunity to share