Quaternary Prevention: Perspectives from Primary Health Care
Background: The practice of quaternary prevention leads to avoid unnecessary health interventions. Objective: To evaluate the relevance given to the concepts of quaternary prevention (P4), to describe the influence of training in Evidence Based Medicine on its practice and to present the barriers an...
| Autores: | , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | Perú |
| Institución: | Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo |
| Repositorio: | Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo |
| Idioma: | español |
| OAI Identifier: | oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1004 |
| Acceso en línea: | https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1004 |
| Access Level: | acceso abierto |
| Palabra clave: | Prevención cuaternaria Atención Primaria de Salud Sobrediagnóstico Sobretratamiento Quaternary prevention Primary care Overdiagnosis Overtreatment |
| Sumario: | Background: The practice of quaternary prevention leads to avoid unnecessary health interventions. Objective: To evaluate the relevance given to the concepts of quaternary prevention (P4), to describe the influence of training in Evidence Based Medicine on its practice and to present the barriers and facilitators of the practice of P4. The Study: Mixed methods study during 2018 and 2019. We surveyed 133 physicians working in primary care and conducted semi-structured interviews with 20 participants. The principles of phenomenology were used for transcript analysis. Findings: 94% consider the practice of P4 to be important. From our interviews, barriers, and facilitators for the practice of P4 at the first level of care were identified. Conclusion: Physicians consider the practice of quaternary prevention to be important. Relevant barriers and facilitators are the specific characteristics of the healthcare system, the patient, and the physicians. |
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