Genealogical analysis of Quaternary Prevention: between the use of Evidence-Based Medicine and care reformulation in Primary Health Care

Abstract We conducted a genealogical analysis of quaternary prevention, an instrument primary health care to address overmedicalization and iatrogenesis, based on related statements interviews with the creators this concept. This tool has been used in reformulation doctor-patient relationship, but limited risk-benefit assessment by using current scientific evidence. In study, we analyze paradoxes evidence-based medicine (EBM) discuss relationship EBM prevention (PHC). Finally, suggest questioning truth evidence for development other paradigms.