{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T03:42:40Z","timestamp":1648698160900},"reference-count":32,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Physis"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>Este artigo avalia a atual tend\u00eancia conceitual em Medicina Geral\/Familiar, Sa\u00fade P\u00fablica e Coletiva, no tocante \u00e0 preven\u00e7\u00e3o quatern\u00e1ria. Os objetivos s\u00e3o identificar e divulgar esse tipo de preven\u00e7\u00e3o e refletir epistemol\u00f3gica e eticamente sobre seus discursos. A metodologia utilizada \u00e9 qualitativa, de tipo hermen\u00eautico. Come\u00e7amos por relembrar as tr\u00eas dimens\u00f5es da preven\u00e7\u00e3o da doen\u00e7a, desenvolvendo sua quarta forma, que \u00e9 uma esp\u00e9cie de preven\u00e7\u00e3o das anteriores. Em seguida, abordamos a atribui\u00e7\u00e3o da urg\u00eancia de preven\u00e7\u00e3o quatern\u00e1ria a alguns grupos espec\u00edficos: m\u00e9dicos, idosos, \"pseudo-doentes\" e doentes psiqui\u00e1tricos. Depois, avaliamos se os princ\u00edpios-base da Bio\u00e9tica s\u00e3o ou n\u00e3o abordados (e o qu\u00e3o desenvolvidos) nesse tipo de preven\u00e7\u00e3o. Ainda que tenhamos delineado algumas cr\u00edticas anteriormente, abrimos uma se\u00e7\u00e3o especialmente para isso, na qual desmontamos epistemol\u00f3gica e eticamente textos dessa linhagem, que resultam em discursos nem sempre coerentes nem coadunados com a pr\u00e1tica cl\u00ednica efetiva. Salientamos o discurso dualista que se esconde por tr\u00e1s da maior parte dos textos, e que anula o pretenso holismo que defendem. O resultado da pesquisa \u00e9 que os principais defensores desse tipo de preven\u00e7\u00e3o utilizam um discurso nem sempre coerente, quer epistemologica, quer eticamente. Conclu\u00edmos que, sendo uma express\u00e3o muito \u00fatil na pr\u00e1tica cl\u00ednica, a preven\u00e7\u00e3o quatern\u00e1ria precisa ser aclarada teoricamente e mais divulgada entre - e dialogada com - profissionais de sa\u00fade de v\u00e1rias especialidades.<\/jats:p>","DOI":"10.1590\/s0103-73312012000400012","type":"journal-article","created":{"date-parts":[[2013,1,19]],"date-time":"2013-01-19T05:58:12Z","timestamp":1358575092000},"page":"1485-1502","source":"Crossref","is-referenced-by-count":2,"title":["Quest\u00f5es epistemol\u00f3gicas e bio\u00e9ticas da preven\u00e7\u00e3o quatern\u00e1ria"],"prefix":"10.1590","volume":"22","author":[{"given":"Clara Costa","family":"Oliveira","sequence":"first","affiliation":[{"name":"Universidade do Minho"}]},{"given":"Ana","family":"Reis","sequence":"additional","affiliation":[{"name":"CESPU-ESSVA"}]}],"member":"530","reference":[{"key":"ref1","first-page":"79","article-title":"Os servi\u00e7os de sa\u00fade p\u00fablica e o sistema de sa\u00fade","volume":"1","author":"ALMEIDA L.","year":"2010","journal-title":"Rev. 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