Dr Miguel Pizzanelli - SIG Quaternary Prevention and Overmedicalization
My name is Miguel Pizzanelli Báez. I was born in Montevideo in 1962. With Virginia my wife and dear partner, we share raising three children. At this moment we live in Florida, Uruguay. Since 1996 I spent almost all my medical practice time in small rural areas. For seven years (from 2003 to 2010) we had the experience of living and working in a small rural village of 1500 inhabitants. I have varied interests, reading, I try to play several musical instruments in a self-taught way. Hobbies: music, trekking, photography, web-blogs editor.
I am general practitioner (family and community medicine) from 2003. I was part of the first generation of family and community medicine residents trained in Uruguay. I call this the zero generation (remembering of hard times that passed).
I use to disseminate contents in various topics: quaternary prevention, rural medicine, critical thinking development. Quaternary prevention is a concept that defines an attitude ethically center oriented to provide health care focusing on persons trying to share health decisions with them in order to avoid overmedicalization.
Since 2012 I began to actively participate in the society of family and community medicine in Uruguay and from that place in CIMF / WONCA. My role leading dissemination and applied of quaternary prevention concept pushed me to lead quaternary prevention working groups, first in my country later in Iberoamerican region and now in WONCA. My interest in classification and systematic terminologies makes me accept the invitation to participate in WONCA International Classification Committee in the quality of associate member from November 2014 up to date. Since 2008 we develop research focus on Barbara Starfield’s Primary Care Assessment Tool in Uruguay. I participate actively in national regional and international CIMF WONCA Conferences (Praga 2013, Montevideo 2015, and Rio de Janeiro 2016).
I think we need to fight both an individual and collective fight. The Individual fight to set collective interests over personal ones. Only through the collective work of all the family doctors and communities together all over the world we will achieve "real" Primary Care: comprehensive health care, equity, and people-centered health care, focus on health better than illness, making reality the utopia of health for all in a better world.