Is opportunistic disease prevention in the consultation ethically justifiable?

Clinical inertia in implementation of preventive medical guidelines should not necessarily be taken as a sign of low quality care. It is time to reconsider the extent to which specific, opportunistic initiatives to prevent disease among asymptomatic individuals should remain a core element of everyd...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:BMJ 2003-08, Vol.327 (7413), p.498-500
Hauptverfasser: Getz, Linn, Sigurdsson, Johann A, Hetlevik, Irene
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 500
container_issue 7413
container_start_page 498
container_title BMJ
container_volume 327
creator Getz, Linn
Sigurdsson, Johann A
Hetlevik, Irene
description Clinical inertia in implementation of preventive medical guidelines should not necessarily be taken as a sign of low quality care. It is time to reconsider the extent to which specific, opportunistic initiatives to prevent disease among asymptomatic individuals should remain a core element of everyday consultations in Western medicine.
doi_str_mv 10.1136/bmj.327.7413.498
format Article
fullrecord <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_188390</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>25455388</jstor_id><sourcerecordid>25455388</sourcerecordid><originalsourceid>FETCH-LOGICAL-b604t-3f27a606d10492c54c38e8a0d2bd92433a37f55cf47349b68be5e9b5de119ba23</originalsourceid><addsrcrecordid>eNqFks1v1DAQxSMEoqvSOxdQBAIOKIvt8ecBIbTio9KqXKBXy0kc1iEbp3ZS0f8eh6y2gAScLPn93nhmnrPsIUZrjIG_KvftGohYC4phTZW8k60w5bJgEuButkKKqUJikCfZWYwtQoiAkIqz-9kJJopyJegquziPuR8GH8apd3F0VV67aE20-RDste1H5_vc9fm4s3nl-zh1o_l5Z8edq0zX3eTtlHyNM2Vn3zzI7jWmi_bscJ5mX96_-7z5WGw_fTjfvN0WJUd0LKAhwnDEa4yoIhWjFUgrDapJWStCAQyIhrGqoQKoKrksLbOqZLXFWJWGwGn2eqk7TOXe1lVqNJhOD8HtTbjR3jj9u9K7nf7qrzWWEhRK_hcHf_BXk42j3rtY2a4zvfVT1IJTrBDCNJHP_00CxyDEDD75A2z9FPq0BU0QRZSkYgl6-jcICyERl4rN3aGFqoKPMdjmOBhGes5ep-x1yl7P2euUfbI8_nUht4ZD0gl4dgBMTLk1wfSVi7ccQ5wB5ol7tHBtHH046oRRxkDODxWLnn6L_X7UTfimuQDB9MXlRm84KFDsUm8T_3Lh55b_O8YPuzndRg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1778068950</pqid></control><display><type>article</type><title>Is opportunistic disease prevention in the consultation ethically justifiable?</title><source>MEDLINE</source><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>JSTOR Archive Collection A-Z Listing</source><source>Alma/SFX Local Collection</source><creator>Getz, Linn ; Sigurdsson, Johann A ; Hetlevik, Irene</creator><creatorcontrib>Getz, Linn ; Sigurdsson, Johann A ; Hetlevik, Irene</creatorcontrib><description>Clinical inertia in implementation of preventive medical guidelines should not necessarily be taken as a sign of low quality care. It is time to reconsider the extent to which specific, opportunistic initiatives to prevent disease among asymptomatic individuals should remain a core element of everyday consultations in Western medicine.</description><edition>International edition</edition><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-8146</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.327.7413.498</identifier><identifier>PMID: 12946974</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>London: British Medical Journal Publishing Group</publisher><subject>Biological and medical sciences ; Cancer screening ; Colorectal cancer ; Disease ; Education And Debate ; General populations ; General practice ; Genetic screening ; Guideline Adherence ; Health care ; Humans ; Inertia ; Mass Screening - organization &amp; administration ; Medical practice ; Medical sciences ; Opportunistic behavior ; Patient Advocacy ; Patients ; Physician patient relationships ; Practice Guidelines as Topic ; Predisposing factors ; Prevention and actions ; Preventive medicine ; Preventive Medicine - ethics ; Primary Health Care ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors</subject><ispartof>BMJ, 2003-08, Vol.327 (7413), p.498-500</ispartof><rights>2003 BMJ Publishing Group Ltd.</rights><rights>Copyright 2003 BMJ Publishing Group Ltd</rights><rights>2004 INIST-CNRS</rights><rights>Copyright: 2003 (c) 2003 BMJ Publishing Group Ltd.</rights><rights>Copyright BMJ Publishing Group Aug 30, 2003</rights><rights>Copyright © 2003, BMJ Publishing Group Ltd. 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b604t-3f27a606d10492c54c38e8a0d2bd92433a37f55cf47349b68be5e9b5de119ba23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25455388$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25455388$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,803,885,27924,27925,30999,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=15065316$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12946974$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Getz, Linn</creatorcontrib><creatorcontrib>Sigurdsson, Johann A</creatorcontrib><creatorcontrib>Hetlevik, Irene</creatorcontrib><title>Is opportunistic disease prevention in the consultation ethically justifiable?</title><title>BMJ</title><addtitle>BMJ</addtitle><description>Clinical inertia in implementation of preventive medical guidelines should not necessarily be taken as a sign of low quality care. It is time to reconsider the extent to which specific, opportunistic initiatives to prevent disease among asymptomatic individuals should remain a core element of everyday consultations in Western medicine.</description><subject>Biological and medical sciences</subject><subject>Cancer screening</subject><subject>Colorectal cancer</subject><subject>Disease</subject><subject>Education And Debate</subject><subject>General populations</subject><subject>General practice</subject><subject>Genetic screening</subject><subject>Guideline Adherence</subject><subject>Health care</subject><subject>Humans</subject><subject>Inertia</subject><subject>Mass Screening - organization &amp; administration</subject><subject>Medical practice</subject><subject>Medical sciences</subject><subject>Opportunistic behavior</subject><subject>Patient Advocacy</subject><subject>Patients</subject><subject>Physician patient relationships</subject><subject>Practice Guidelines as Topic</subject><subject>Predisposing factors</subject><subject>Prevention and actions</subject><subject>Preventive medicine</subject><subject>Preventive Medicine - ethics</subject><subject>Primary Health Care</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk Factors</subject><issn>0959-8138</issn><issn>0959-8146</issn><issn>1468-5833</issn><issn>1756-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><recordid>eNqFks1v1DAQxSMEoqvSOxdQBAIOKIvt8ecBIbTio9KqXKBXy0kc1iEbp3ZS0f8eh6y2gAScLPn93nhmnrPsIUZrjIG_KvftGohYC4phTZW8k60w5bJgEuButkKKqUJikCfZWYwtQoiAkIqz-9kJJopyJegquziPuR8GH8apd3F0VV67aE20-RDste1H5_vc9fm4s3nl-zh1o_l5Z8edq0zX3eTtlHyNM2Vn3zzI7jWmi_bscJ5mX96_-7z5WGw_fTjfvN0WJUd0LKAhwnDEa4yoIhWjFUgrDapJWStCAQyIhrGqoQKoKrksLbOqZLXFWJWGwGn2eqk7TOXe1lVqNJhOD8HtTbjR3jj9u9K7nf7qrzWWEhRK_hcHf_BXk42j3rtY2a4zvfVT1IJTrBDCNJHP_00CxyDEDD75A2z9FPq0BU0QRZSkYgl6-jcICyERl4rN3aGFqoKPMdjmOBhGes5ep-x1yl7P2euUfbI8_nUht4ZD0gl4dgBMTLk1wfSVi7ccQ5wB5ol7tHBtHH046oRRxkDODxWLnn6L_X7UTfimuQDB9MXlRm84KFDsUm8T_3Lh55b_O8YPuzndRg</recordid><startdate>20030830</startdate><enddate>20030830</enddate><creator>Getz, Linn</creator><creator>Sigurdsson, Johann A</creator><creator>Hetlevik, Irene</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>LK8</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7QJ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20030830</creationdate><title>Is opportunistic disease prevention in the consultation ethically justifiable?</title><author>Getz, Linn ; Sigurdsson, Johann A ; Hetlevik, Irene</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b604t-3f27a606d10492c54c38e8a0d2bd92433a37f55cf47349b68be5e9b5de119ba23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Cancer screening</topic><topic>Colorectal cancer</topic><topic>Disease</topic><topic>Education And Debate</topic><topic>General populations</topic><topic>General practice</topic><topic>Genetic screening</topic><topic>Guideline Adherence</topic><topic>Health care</topic><topic>Humans</topic><topic>Inertia</topic><topic>Mass Screening - organization &amp; administration</topic><topic>Medical practice</topic><topic>Medical sciences</topic><topic>Opportunistic behavior</topic><topic>Patient Advocacy</topic><topic>Patients</topic><topic>Physician patient relationships</topic><topic>Practice Guidelines as Topic</topic><topic>Predisposing factors</topic><topic>Prevention and actions</topic><topic>Preventive medicine</topic><topic>Preventive Medicine - ethics</topic><topic>Primary Health Care</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Getz, Linn</creatorcontrib><creatorcontrib>Sigurdsson, Johann A</creatorcontrib><creatorcontrib>Hetlevik, Irene</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Science Database (ProQuest)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Getz, Linn</au><au>Sigurdsson, Johann A</au><au>Hetlevik, Irene</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is opportunistic disease prevention in the consultation ethically justifiable?</atitle><jtitle>BMJ</jtitle><addtitle>BMJ</addtitle><date>2003-08-30</date><risdate>2003</risdate><volume>327</volume><issue>7413</issue><spage>498</spage><epage>500</epage><pages>498-500</pages><issn>0959-8138</issn><issn>0959-8146</issn><eissn>1468-5833</eissn><eissn>1756-1833</eissn><coden>BMJOAE</coden><abstract>Clinical inertia in implementation of preventive medical guidelines should not necessarily be taken as a sign of low quality care. It is time to reconsider the extent to which specific, opportunistic initiatives to prevent disease among asymptomatic individuals should remain a core element of everyday consultations in Western medicine.</abstract><cop>London</cop><pub>British Medical Journal Publishing Group</pub><pmid>12946974</pmid><doi>10.1136/bmj.327.7413.498</doi><tpages>3</tpages><edition>International edition</edition><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0959-8138
ispartof BMJ, 2003-08, Vol.327 (7413), p.498-500
issn 0959-8138
0959-8146
1468-5833
1756-1833
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_188390
source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing; Alma/SFX Local Collection
subjects Biological and medical sciences
Cancer screening
Colorectal cancer
Disease
Education And Debate
General populations
General practice
Genetic screening
Guideline Adherence
Health care
Humans
Inertia
Mass Screening - organization & administration
Medical practice
Medical sciences
Opportunistic behavior
Patient Advocacy
Patients
Physician patient relationships
Practice Guidelines as Topic
Predisposing factors
Prevention and actions
Preventive medicine
Preventive Medicine - ethics
Primary Health Care
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
title Is opportunistic disease prevention in the consultation ethically justifiable?
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-19T01%3A57%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Is%20opportunistic%20disease%20prevention%20in%20the%20consultation%20ethically%20justifiable?&rft.jtitle=BMJ&rft.au=Getz,%20Linn&rft.date=2003-08-30&rft.volume=327&rft.issue=7413&rft.spage=498&rft.epage=500&rft.pages=498-500&rft.issn=0959-8138&rft.eissn=1468-5833&rft.coden=BMJOAE&rft_id=info:doi/10.1136/bmj.327.7413.498&rft_dat=%3Cjstor_pubme%3E25455388%3C/jstor_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1778068950&rft_id=info:pmid/12946974&rft_jstor_id=25455388&rfr_iscdi=true