Care and Do Not Harm: Possible Misunderstandings With Quaternary Prevention (P4); Comment on “Quaternary Prevention, an Answer of Family Doctors to Over Medicalization”

The discussion between general practitioners (gps) and healthcare delivery organizations necessitates a common language. the presentation of the 4 types of gp’s activities, opens dialogue but can lead to possible misunderstandings between the micro- and macro-level of the healthcare system. this commentary takes 4 examples: costs reduction by p4, priority of beneficence or nonmaleficence, role of evidence-based medicine (ebm) and use of a constructivist model.