Piessens Veerle, Rodriguez Benito Laura, Öztora Serdar, Martins Carlos, Brodersen John Brandt
Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Program for Preventive Activities and Health Promotion (PAPPS), SemfYc, Barcelona, Spain.
Eur J Gen Pract. 2025 Dec;31(1):2531880. doi: 10.1080/13814788.2025.2531880. Epub 2025 Jul 23.
Prevention is a fundamental aspect of the work of general practitioners (GPs) and family doctors (FDs); however, its implementation poses significant challenges due to conflicting guidelines, time constraints, competing demands, and equity concerns. This position paper proposes seven guiding principles to help GPs and FDs navigate preventive care effectively. It encourages GPs/FDs to recognise the intrinsic preventive value of high-quality general practice and adopt a critical approach to the evidence underpinning preventive recommendations. Prioritising a limited number of preventive services with a strong evidence base and targeting those patients most likely to benefit will contribute to sustainable, evidence-based, and equitable patient care.
预防是全科医生（GPs）和家庭医生（FDs）工作的一个基本方面；然而，由于指南相互冲突、时间限制、需求竞争和公平性问题，其实施面临重大挑战。本立场文件提出了七条指导原则，以帮助全科医生和家庭医生有效地开展预防保健工作。它鼓励全科医生/家庭医生认识到高质量全科医疗的内在预防价值，并对预防建议所依据的证据采取批判性方法。优先考虑数量有限但有充分证据基础的预防服务，并针对最有可能受益的患者，将有助于提供可持续、基于证据且公平的患者护理。
