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Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Print version ISSN 2225-5109On-line version ISSN 2227-4731
Abstract
CUBA FUENTES, Maria Sofia; ESPINOZA SUAREZ, Nataly R. and REYES SOLARI, Esperanza. Quaternary Prevention: Perspectives from Primary Health Care. Rev. Cuerpo Med. HNAAA [online]. 2022, vol.15, n.1, pp.91-96. Epub Mar 31, 2022. ISSN 2225-5109. http://dx.doi.org/10.35434/rcmhnaaa.2022.151.1004.
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.
Material and methods:
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.
Results:
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.
Keywords : Quaternary prevention; Primary care; Overdiagnosis; Overtreatment.
