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See detailCoding of papers submitted to the 14th Congresso Brasileiro de Medicina de Família e Comunidade
Knupp, Daniel Augusto; Rebolho, Ricardo; Jamoulle, Marc ULiege et al

Conference (2017, December 05)

Introduction: The intention of codifying the 14th CBMFC's work with the use of 3CGP (Core Concept Classification in General Practice Family Medicine) appeared during the 21st WONCA World Conference of ... [more ▼]

Introduction: The intention of codifying the 14th CBMFC's work with the use of 3CGP (Core Concept Classification in General Practice Family Medicine) appeared during the 21st WONCA World Conference of Family Physicians, when members of the organizing committee of the 14th CBMFC were able to participate in an activity given by Dr Marc Jamoulle on the subject and realized how important it could be to use 3CGP. It consists of using the International Classification of Primary Care (CIAP-2) and the Q-Codes to classify the contents of abstracts submitted to the congress. CBMFCs are large events, which usually receive a substantial number of abstracts. The experience of using 3CGP in an event of this magnitude can have a great impact for the development of the specialty in the country, besides having a pioneering character, contributing for 3CGP to become an international standard in the congresses of family and community medicine. Objectives: Assist the author in the choice of theme; Teaching how to index; Contribute to updating the Q Codes; Manage the congress; Contribute in the management of knowledge in family and community medicine. Method: This is an action research experiment that will consist of the coding of all abstracts submitted to the 14th CBMFC with the use of 3CGP. Authors will be introduced to the classification system by means of an introductory text and should submit their work on the event site using a system that already allows them to perform the encoding of the abstract. The data obtained in this process will be evaluated by members of the organizing committee of the 14th CBMFC, who will be in charge of synthesizing it. [less ▲]

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See detailIndexing grey multilingual literature in General Practice in the era of Semantic Web
Jamoulle, Marc ULiege; Resnick, Melissa; Ittoo, Ashwin ULiege et al

in The Grey Journal (2017, October 23)

voir abstract ci-dessous

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See detailDevelopment, dissemination, and applications of a new terminological resource the Q-Code taxonomy for professional aspects of General Practice / Family Medicine.
Jamoulle, Marc ULiege; Resnick, Melissa; Grosjean, Julien et al

in European Journal of General Practice (2017), accepted

Abstract of Background Paper: Background: While documentation of clinical aspects of General Practice/Family Medicine (GP/FM) is assured by the International Classification of Primary Care (ICPC), there ... [more ▼]

Abstract of Background Paper: Background: While documentation of clinical aspects of General Practice/Family Medicine (GP/FM) is assured by the International Classification of Primary Care (ICPC), there is no taxonomy for the professional aspects (context and management) of GP/FM. Aim: To present the development, dissemination, applications, and resulting face validity of the Q-Codes taxonomy specifically designed to describe contextual features of GP/FM, proposed as an extension to the ICPC Development: The Q-Codes taxonomy was developed from Lamberts’ seminal idea for indexing contextual content (1987) by a multi-disciplinary team of knowledge engineers, linguists and general practitioners, through a qualitative and iterative analysis of 1702 abstracts from six GP/FM conferences using Atlas.ti software. A total of 182 concepts, called Q-codes, representing professional aspects of GP/FM, were identified and organised in a taxonomy. Dissemination: The taxonomy is published as an on-line terminological resource, using semantic web techniques and Web ontology language (OWL) (www.hetop.eu/Q). Each Q-code is identified with an Unique Resource Identifier (URI), and provided with preferred terms, formal definitions in eight languages (pt, es, en, fr, nl, ko, vi, tr) and search filters for Medline and web searches. Applications. . This taxonomy has already been used to support queries in bibliographic databases (e.g. Medline), to facilitate indexing of grey literature in GP/FM as congress abstracts, master theses, websites and as an educational tool in vocational teaching, Conclusions: The rapidly growing list of practical applications provides face-validity for the usefulness of this freely available new terminological resource. [less ▲]

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See detailQ-Codes, version 2.5., tabular list, Georgian version, copy desk. 2017
Jamoulle, Marc ULiege; Kareli, Ana; Natia, Natroshvili

Learning material (2017)

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See detailPrevenzione quaternaria, primum non nocere
Jamoulle, Marc ULiege

Conference (2017, September 28)

When presented in Durham during the 1995 WICC workshop, the concept of quaternary prevention, born in 1986, has attracted the consensus of the whole audience. In 2003 it has been discretely published in ... [more ▼]

When presented in Durham during the 1995 WICC workshop, the concept of quaternary prevention, born in 1986, has attracted the consensus of the whole audience. In 2003 it has been discretely published in the Wonca dictionary of general practice. Since this time, medicine has changed. The diffusion of knowledge and the sagacity of some researchers has shown that medicine could become dangerous for health. The concepts of overinformation, overdiagnosis, overtreatment and overscreening are now the bread and butter of numerous medical journals and the themes of numerous books and disputes throughout the world. Quaternary prevention encompasses all those domains and supersedes them by putting the relationships between patient and doctor at the center of the ethical reflection. WICC has been instrumental in the genesis and dissemination of the concept of quaternary prevention. This concept is now known and distributed worldwide under the acronym P4. Family physicians form interlinked P4 groups in various countries. It is the theme of many congresses and was propelled to the forefront of the recent Wonca Europe Congress. This concept could induce profound changes in the role of the family physician in health care. Moreover, the combination of the four definitions of prevention provided an amazing view of the activity of family physicians and could renew basic job description in GP / FM. [less ▲]

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See detailRound table. Quaternary Prevention(P4) or first do not harm.
Jamoulle, Marc ULiege; Widmer, Daniel; La Valle, Ricardo et al

Conference (2017, September 09)

Quaternary prevention (P4), born from a reflection on the doctor-patient relationship, began as an answer of family doctors facing overmedicalization. It aims to protect the patient or population against ... [more ▼]

Quaternary prevention (P4), born from a reflection on the doctor-patient relationship, began as an answer of family doctors facing overmedicalization. It aims to protect the patient or population against the danger of medicine. Harmful effects can appear with preventive activities (example: prostate cancer screening by PSA) as well as by therapeutic interventions (example: disruptive medicine). P4 promoted by the World Organization of Family Doctors (WONCA) is practiced in different ways around the world through the activity of the WONCA Special Interest Group on Quaternary Prevention and Overmedicalisation (P4&O). There are multiple initiatives and backgrounds of P4. All these multiple initiatives that lead to P4 have their origin in denouncing the inadequacies of the Hegemonic Medical Model and the excesses perpetrated in the pursuit of profit. There are many schools of thought that try to solve this situation, such as "Medicines Based on ..." These contributions are valuable but usually point to a single dimension of the problem so they do not change the situation too much. The P4, however, have understood the centrality of the political and economic dimensions and, that is why, P4 has become a movement. P4 has understood that the root causes far exceed the limits of medicine, have understood that the problem includes ethical, political, economic and epistemological aspects of medicine. It is for this reason that the definition of P4 has shifted to the function of foundational idea since the movement that has been generated around this concept has surpassed this initial definition centered in a, yet complex, but still medical vision. P4 has understood that a new model of medicine and a new pact with society is necessary. P4 is a counter-hegemonic movement with predominant development in peripheral countries. This movement includes many other perspectives developed in the central countries but is the only one that has an ideological position that discusses the current paradigm of medicine that legitimates the same causes that give rise to P4, proposing to think a new way of practice the medicine that includes Ethical values, other forms of knowledge and the return to human medicine for humans with place for uncertainty, compassion, the encounter between people and non-commodified. Justice in health care is a central aspect of this new way of conceiving the medicine that we propose. Remember what Rudolf Virchow said in the nineteenth century "Physicians are the natural advocates of the poor and social problems fall largely under their jurisdiction. Medicine is a social science, and politics is nothing more than medicine in large scale". We must reformulate our contract with society and for this we must be very clear that our loyalty must always be with the sick, the poor and those who are weak. For this new contract we must also take into account the magnitude of the power that has been given to us and to live up to such responsibility. In the Rio manifesto (2016) we propose to “Avoid and denounce the naturalization of: hunger, exclusion, manipulation, inequality, violence, racism, exploitation, which harm health more than "diseases"” . There is a better and fairer world, let's fight to get it! More about P4 on www.ph3c.org/p4 [less ▲]

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See detailAnalysis of definitions of General Practice/Family Medicine and Primary Health Care
Jamoulle, Marc ULiege; Resnick, Melissa; Ittoo, Ashwin ULiege et al

in British Journal of General Practice (2017), 0050

Abstract Background There are numerous definitions of General Practice and Family Medicine (GP/FM) and Primary Health Care (PHC), but the distinction between the two concepts is unclear. Aim To conduct a ... [more ▼]

Abstract Background There are numerous definitions of General Practice and Family Medicine (GP/FM) and Primary Health Care (PHC), but the distinction between the two concepts is unclear. Aim To conduct a terminological analysis of a set of definitions of GP/FM and of PHC, to clarify what binds and what distinguishes these two concepts. Design The terms of 20 definitions were collected in two bags of words (one for GP/FM and one for PHC terms). A terminological analysis of these two bags of words was performed to prioritize the terms and analyze their world of reference. Methods The two collected bags of words were extracted with Vocabgrabber®, configured in two term butts using Wordle®, and further explored for similarities using Tropes®. The prioritized terms were analyzed using the Aristotelian approach to categorization of things. Results Although continuity of care (with person-centered approach and shared decision making) is the central issue of the two sets, the two sets of definitions differ greatly in content. The prioritized terms specific to GP/FM (community, medicine, responsibility, individual, problem, needs, ...) are different from prioritized terms specific to PHC (home, team, promotion, collaborator, engagement, neighborhood, medical center…). Conclusion Terminological analysis of the definitions for GP/FM and PHC shows two entities which are overlapping but distinct, necessitating a different taxonomic approach and different bibliographic search strategies. [less ▲]

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See detailOnline ICPC-2 & Q-Codes: General Practice / Family Medicine Online Multilingual Terminology & Knowledge Base
Jamoulle, Marc ULiege

Conference (2017, August 31)

Availability of ICPC-2 and Q-Codes in URI format

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See detailPrevention Library and Resources in four languages (QP Library)
Comité de Bibliografía en Prevención Cuaternaria; WONCA SIG P4 & O; Pizanelli, Miguel et al

Textual, factual or bibliographical database (2017)

Since Quaternary Prevention is very extensive and complex, during the design process for database input, an indexing structure with the use of coding tools and categories was considered. This design will ... [more ▼]

Since Quaternary Prevention is very extensive and complex, during the design process for database input, an indexing structure with the use of coding tools and categories was considered. This design will allow the addition of materials and will provide easy access to them. To add documents, 13 data fields must be populated. To access the input data form, for the purpose of adding documents, use this link: http://j.tinyurl.com/P4-Library To avoid duplication of data entries, it is necessary to review and perform an audit. In the beginning, we will provide this tutorial to a few data entry collaborators. To become a data entry collaborator, please send an e-mail to the following address: quaternaryprevention@gmail.com Charts are available in eight languages to code with Q-Codes: http://3cgp.docpatient.net/tabular/ [less ▲]

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See detailEthique d'un médecin de famille
Jamoulle, Marc ULiege

Book published by Care Editions (2017)

Préface Un médecin généraliste à l'endroit. Marc Jamoulle n'aime pas la médecine à l'envers, celle des étiquettes, de la maladie définie parce qu'elle répond aux trouvailles des pharmas, celle qui ... [more ▼]

Préface Un médecin généraliste à l'endroit. Marc Jamoulle n'aime pas la médecine à l'envers, celle des étiquettes, de la maladie définie parce qu'elle répond aux trouvailles des pharmas, celle qui distribue plus de produits que de soins, celle qui réduit l'humain en chiffres, ni celle des corps morcelés, des pièces détachées du garage hospitalier. La médecine à l'endroit accepte l'humain tel qu'il est et s'adapte au problème. Elle ne nie pas le vécu et ne juge pas. Faite de tendresse pour la personne, pour l'individu particulier et de compassion, elle n'est ni le gardien de la morale sociale, ni la courroie de transmission des grands principes. Marc Jamoulle n'est pas sur l'estrade des Académiciens, il reste près du poêle au fond de la classe et devient un "virtuose du complexe et du coq à l'âne". Il se fâche lorsque les outils qu'on lui offre ne sont pas adaptés à la réalité. L'informatisation de l'humain lui pose problème puisqu'on ne peut pas faire de la "télémétrie de la souffrance". Et que valent les données recueillies si personne ne les lit? Il rêve du carnet d'écolier, un objet transitionnel comme trace de l'agir et du respect d'une équipe. Les rêves de Marc Jamoulle peuvent aboutir à des chartes élaborées avec ses collègues, comme la charte pour une éthique de l'information. Toujours Marc construit son cheminement sur la réalité de son quotidien professionnel: il nous raconte des histoires de patients, décrit ses journées, ses pensées, ses préoccupations et celles de ses confrères et progressivement il crée ses concepts ancrés dans la vie: les Q-Codes, la prévention quaternaire. Sa vision est critique, consciente des dérives possibles induites par les pouvoirs, ce que l'on voit tout au long de sa carrière, de la déclaration de Cos à celle de Rio. Il a certainement des colères constructives et le livre s'ouvre et se termine par elles: la condamnation de la méthadone par les autorités privant les patients d'un traitement qui s'avérait protecteur de la personne, et plus récemment la différence des législations sur l'aide en fin de vie, obligeant certains patients à passer d'un pays à l'autre, à un moment de leur vie qui mériterait plus de respect. Le livre de Marc Jamoulle est un patch-work, un aller et retour entre l'expérience quotidienne et les prises de position politique, une pensée sauvage toujours en alerte du risque de récupération: l'industrie n'a-t-elle pas réussi à s'emparer de l'EBM? En effet les meilleures idées peuvent être finalement pasteurisées comme le dit la déclaration de Rio et Marc tient à conserver le goût et les saveurs de la vie. Daniel Widmer Médecin généraliste, Vice-président de l'Union Européenne de Médecine Omnipraticienne UEMO. [less ▲]

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See detailAccess to multilingual individual rubrics in URI format for ICPC-2 and the Q-Codes
Jamoulle, Marc ULiege; Grosjean, Julien; Darmoni, Stefan

Textual, factual or bibliographical database (2017)

ICPC-2 (v6), new ICPC-2 Process (v6) and Q-Codes are available on the University of Rouen's HeTOP server in URI format (Universal Resource Identifier) ICPC-2 is available in 19 languages. Q-Codes are ... [more ▼]

ICPC-2 (v6), new ICPC-2 Process (v6) and Q-Codes are available on the University of Rouen's HeTOP server in URI format (Universal Resource Identifier) ICPC-2 is available in 19 languages. Q-Codes are available in 8 languages ; change the two characters ‘en’ by the corresponding by the corresponding language Code ISO 3166-1 in lower case : es, pt, fr, nl, ko, tr, vi into the URI. Link to ICD-10 have been updtade in the HeTOP server. Automatic links to MeSH and Manually controlled links to Q-codes are also available for ICPC-2. Access is granted free of charge. ICPC-2 is copyrighted by Wonca. Q-Codes are under Creative common license share alike non commercial [less ▲]

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See detailLa classification Q-Codes en format URI
Jamoulle, Marc ULiege; Grosjean, Julien; Darmoni, Stefan

Textual, factual or bibliographical database (2017)

Direct access to the terminology records of the Q-Codes multilingua classification. Each code is published via a URI. ICPC-2 supplementary classification, contextual of general practice activity ... [more ▼]

Direct access to the terminology records of the Q-Codes multilingua classification. Each code is published via a URI. ICPC-2 supplementary classification, contextual of general practice activity, available via URIs. [less ▲]

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See detailA terminology in General Practice / Family Medicine to represent non-clinical aspects for various usages
Jamoulle, Marc ULiege; Grosjean, Julien; Ittoo, Ashwin ULiege et al

in R. Randell et al. (Ed.) Informatics for Health: Connected Citizen-Led Wellness and Population Health (2017, April 24)

Abstract. The hereby proposed terminology called “Q-Codes” can be defined as an extension of the International Classification of Primary Care (ICPC-2). It deals with non-clinical concepts that are ... [more ▼]

Abstract. The hereby proposed terminology called “Q-Codes” can be defined as an extension of the International Classification of Primary Care (ICPC-2). It deals with non-clinical concepts that are relevant in General Practice/Family Medicine (GP/FM). This terminology is a good way to put an emphasis on underestimated topics such as Teaching, Patient issues or Ethics. It aims at indexing GP/FM documents such as congress abstracts and theses to get a more comprehensive view about the GP/FM domain. The 182 identified Q-Codes have been very precisely defined by a college of experts (physicians and terminologists) from twelve countries. The result is available on the Health Terminology/Ontology Portal (http://www.hetop.org/Q) and formatted in OWL-2 for further semantic considerations and will be used to index the 2016 WONCA World congress communications. [less ▲]

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See detailQuaternary prevention library and resources (QP library)
Pizzanelli, Miguel; Lavalle, Ricardo; Jamoulle, Marc ULiege

Learning material (2017)

Collaborative Database on Quaternary Prevention Resources and References. Base de datos colaborativa de recursos y referencias bibliográficas sobre Prevención Cuaternaria. Base de Dados Colaborativa de ... [more ▼]

Collaborative Database on Quaternary Prevention Resources and References. Base de datos colaborativa de recursos y referencias bibliográficas sobre Prevención Cuaternaria. Base de Dados Colaborativa de Recursos e Referências sobre Prevenção Quaternária. Réseau collaboratif de ressources et de références en matière de Prévention du Quaternaire [less ▲]

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See detailTowards Knowledge management in General Practice & Family Medicine; Guide to the indexing of master thesis.
Jamoulle, Marc ULiege

Learning material (2017)

The Francophone Coordination Center for Training in General Practice (CCFFMG) (www.ccffmg.be)(French) is in charge of organizing the public release of the End-of-Study works (Master thesis) in General ... [more ▼]

The Francophone Coordination Center for Training in General Practice (CCFFMG) (www.ccffmg.be)(French) is in charge of organizing the public release of the End-of-Study works (Master thesis) in General Practice/Family Medicine (GP/FM) . This work is carried out at the end of the Master of Specialty of the Departments of General Practice of the Free University of Brussels (ULB), the Catholic University of Louvain (UCL) and the University of Liège (ULg). A dedicated website (www.mgtfe.be) offers an online copywriting guide. This site provides also a description and instruction manual for a GP/FM indexing system discussed in this document. This experimental system, based on the assembly of the International Classification of Primary Care, second version (ICPC-2), and a new contextual classification called Q-Codes version 2.5 is intended to help the manual indexation of the Master Thesis. The package, called Core Content Classification in GP/FM (3CGP), is now available in 8 languages (en-fr-nl-es-pt-vi-ko-tr) on the multilingual web site of Department of Medical Information and Medical Informatics (B2IM) of the University of Rouen (www.hetop.eu/q) together with a companion site (http://3cgp.woncaeurope.org) (in English). Family physician will be asked to choose a number of proposed codes to index their jobs at the time of online filing. The publishing site will be equipped with a search module based on the 3CGP indexing system. An evaluation of the system of indexing by the users is organized. [less ▲]

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See detailGuide d’indexation des travaux de fin d’étude en médecine générale
Jamoulle, Marc ULiege

Learning material (2017)

Le Centre de Coordination Francophone pour la Formation en Médecine Générale (CCFFMG) (www.ccffmg.be) a été chargé d’organiser la mise en ligne publique des Travaux de Fin d’Étude (TFE). Le TFE est ... [more ▼]

Le Centre de Coordination Francophone pour la Formation en Médecine Générale (CCFFMG) (www.ccffmg.be) a été chargé d’organiser la mise en ligne publique des Travaux de Fin d’Étude (TFE). Le TFE est réalisé à la fin du master de spécialité des départements de médecine générale de l’Université Libre de Bruxelles (ULB), l’Université Catholique de Louvain (UCL) et Université de Liège (ULg). Un site dédié (www.mgtfe.be) propose un guide de rédaction en ligne. Ce site offre aussi la description et le mode d’emploi d’un système d’indexation adapté à la médecine de famille (MF) dont il est question dans le présent document. Ce système, expérimental, est basé sur l’assemblage de la Classification Internationale des Soins Primaires deuxième version (CISP-2), et d’une nouvelle classification contextuelle dénommée Q-Codes version 2.5. L’ensemble, portant le nom de Core Content Classification in General Practice, Family Medicine (3CGP), déjà disponible en 8 langues (en-fr-nl-es-pt-vi- ko-tr) est proposé en ligne sur le site du Département d’Information et d’Informatique Médicale (B2IM) de l’Université de Rouen (www.hetop.eu/q) en même temps qu’un site compagnon (http://3cgpwoncaeurope.org). Les MFs seront invités à choisir un certain nombre de codes proposés pour indexer leurs travaux au moment du dépôt en ligne. Le site de publication sera muni d’un module de recherche basé sur le système d’indexation 3CGP. Une évaluation du système d’indexation par les utilisateurs est organisée. [less ▲]

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See detailThemes related to prevention in the Q-Codes taxonomy. Call to a collaborative exploration into the abstracts of Europrev meetings
Jamoulle, Marc ULiege

Conference (2017, April 03)

Background For the documentation of the clinical data, the International Classification of Primary Care (ICPC-2) is used, often in conjunction with the more granular International Classification of ... [more ▼]

Background For the documentation of the clinical data, the International Classification of Primary Care (ICPC-2) is used, often in conjunction with the more granular International Classification of Diseases (ICD). For retrieval of scientific bibliographic information in GP/FM, Medical Subject Headings (MeSH) are used. With over 25,000 available MeSH descriptors, indexing is not easy, and yet not all aspects of the broad field of GM/FM are covered . ICPC-2 has been developed to identify reasons for encounter, symptoms, acts performed or requested and diagnosis in daily practice: It captures clinical encounters for epidemiological research. But, it was not constructed to reflect the non-clinical aspects of the profession, such as organizational, managerial, educational, and investigational aspects. Recently, a new taxonomy of organizational aspect of GM/FM has been developed to ameliorate this situation. The purpose of this development was to provide tools to exploit modern technology in terminology for information storage and retrieval systems , such as machine learning, semantic web techniques and natural language processing (NLP). The 182 concepts identified were thoroughly described in terminology records, which are freely accessible on the web (www.hetop.eu/Q). All concept and definitions were translated into 8 languages and are available online. (http://3cgp.woncaeurope.org). A book is available in 6 languages To develop the Q-codes 1700 abstracts of GP/FM congresses have been carefully analyzed. This has been the basis of the work. As a team of the EGRPN has also analyzed 600 EGPRN abstracts and developed a taxonomy of research, I have this work has been incorporated to update the QR domain. Thus ongoing Q-Codes are based on the analysis of 2300 abstracts The most important fact is that there is a Q-Codes only if the theme has been discussed by physicians during congresses. This is a bottom-up approach which contrast with the expert approach of the authors of textbook The Q-Codes have been integrated with the clinical classification ICPC-2 into a coherent whole, under the name Core Content of General Practice and Family Medicine (3CGP), for further enhancement of medical documentation and indexing of GP/FM master thesis and congress abstracts The value of a taxonomy is determined by the quality and speed of the maintenance and updating process. This will be handled by a working group of the Wonca International Classification Committee (WICC) (www.ph3c.org/Q) already authors of ICPC-2. Aim to present the preventive aspects of the Q-codes, a taxonomy specifically directed to describe the managerial aspects of GP/FM. To make a call to Europrev members to come an board of the Q-codes working group and to help to make more accurate the preventive fields in the Q-Codes taxonomy download abstract below [less ▲]

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See detailQuaternary prevention, the art of “primum non nocere”
Jamoulle, Marc ULiege

Conference (2017, April 03)

State of the art of the concept of Quaternary prevention

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See detailLes Q-Codes et la terminologie multilingue de médecine générale et de famille
Jamoulle, Marc ULiege; Schuers, Matthieu; Ouvrard, Patrick et al

Conference (2017, March 31)

voir pdf

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See detailTemps du patient, temps du docteur
Jamoulle, Marc ULiege

in Ethica Clinica (2016), 84(4), 74-81

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