Slow medicine: a philosophical conception for a humanized geriatric practice

P. Wachholz, José Carlos Aquino de Campos Velho
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Abstract

Expansion of the concept of health, care fragmentation, and technology overvaluation have fostered discussions about the limitations of the biomedical model. The post-COVID-19 era can be one of the largest and best windows of opportunity for implementation of interventions aimed at promoting health equity, particularly in geriatrics. The mission of Slow Medicine can be summarized in three keywords: measured, because it acts with moderation, gradually and without waste; respectful, because it seeks to preserve the dignity and values of each person; and equitable, because it is committed to ensuring access to appropriate care for all. Operationally, the Slow Medicine movement is known internationally for the “Doing more does not mean doing better” campaign, whose objective is essentially to reflect upon and try to engage physicians in reflective practices to avoid the overuse of medical resources, both diagnostically and therapeutically. In this article, we present a brief historical summary and the principles that guide the praxis of the Slow Medicine movement, and invite the reader to reflect on a “geriatrics without haste.”
慢医学:一种人性化老年医学实践的哲学概念
健康概念的扩展、护理的碎片化和技术的高估引发了关于生物医学模式局限性的讨论。后covid -19时代可能是实施旨在促进卫生公平的干预措施的最大和最佳机会窗口之一,特别是在老年病学方面。慢医学的使命可以用三个关键词来概括:有分寸,因为它的作用是适度的、渐进的、不浪费的;尊重,因为它寻求维护每个人的尊严和价值;之所以公平,是因为它致力于确保所有人都能获得适当的护理。在操作上,慢医学运动以“做得多并不意味着做得更好”的运动而闻名于世,其目标主要是反思并试图让医生参与反思实践,以避免在诊断和治疗方面过度使用医疗资源。在这篇文章中,我们提出了一个简短的历史总结和原则,指导慢医学运动的实践,并邀请读者反思一个“老年病不疾不徐”。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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24 weeks
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