The words of prevention, part II: ten terms in the realm of quaternary prevention

Revista Brasileira de Medicina de Família e Comunidade

Julien Grosjean¹  Marc Jamoulle²  Miguel Pizzanelli³  Enrique Gavilán⁴  Raquel Vaz Cardoso⁵  María Ana Mariño⁶  Stéfan J. Darmoni⁷ 

[1] Engineer & Information scientist, CISMeF, TIBS, LITIS EA 4108, Rouen Univ. Hosp., France.;Espace Temps maison de santé, Charleroi, family doctor, investigador em Cuidados Primários. Departement Universitiare de Médecine Générale of the Université de Liège (DUMG ULg). Bélgica.;Especialista en Medicina Familiar y Comunitaria. Coordinador de la Unidad docente asistencial Rural de Florida, Uruguay. Profesor Adjunto del Departamento de Medicina Familiar y Comunitaria de la Facultad de Medicina de la UDELAR, Uruguay.;Family and community doctor, Centro de Salud Montehermoso, Cáceres, España.;Family and community doctor, Professor, Universidade de Brasília, Brasil.;Family doctor, Sociedad Argentina de Medicina Interna General, Buenos Aires, Argentina.;Prof of medical Informatics, CISMeF, TIBS, LITIS EA 4108, Rouen Univ. Hosp. & LIMICS, U1142, INSERM, France.;

关键词: Quaternary Prevention;    Family Practice;    Terminology as Topics;    Semantics.;   

DOI  :  10.5712/rbmfc10(35)1063

来源: DOAJ

【 摘 要 】

Objective: This part II article about the ‘words of prevention’ presents in a terminological way the content of ten current concepts used in the prevention domain which are closely linked to quaternary prevention: (1) overinformation, (2) overdiagnosis, (3) medically unexplained symptoms, (4) overmedicalisation, (5) incidentaloma, (6) overscreening, (7) overtreatment,  (8) shared decision making, (9) deprescribing, and (10) disease mongering. Methods: with the support of the laboratory team of the University of Rouen, France, which is dedicated to medical terminology and semantic relationships, it was possible to utilize  a graphic user interface (called DBGUI) allowing the construction of links for each of chosen terms, and making automatic links to MeSH, if any. Those concepts are analyzed in their environment in current literature, as well as in their MeSH counterparts, if any, and related semantic online terminologies. Results and Discussion: The rules in terminological development aspire to cover the whole field of a concept and in the meantime, it helps to avoid the noise due to proxy and not exactly related issues. This refers to exhaustivity and specificity in information retrieval. Our finds show that referring to MeSH only in information retrieval in General Practice/Family medicine can induce much noise and poor adequacy to the subject investigated. Conclusion: Gathering concepts in specially prepared terminologies for further development of ontologies is a necessity to enter in the semantic web area and the era of distributed data.

【 授权许可】

Unknown