Non-Pharmacological Interventions: Asset for General Medicine

Non-Pharmacological Interventions: Asset for General Medicine

Lecture given at the 17th National Conference of Medicine General Practionners, November 22, Montpellier, France.

No one is supposed to ignore the benefits and health risks of non-pharmacological interventions (NPIs), and especially not the general practitioner. It would still be necessary to have rigorous studies and to be able to consult them easily. NPIs are at the stage where the drug was 50 years ago. This sentence of Gilles Bouvenot (2006, p.13), expert in clinical drug research, perfectly illustrates the point: “until the sixties, number of therapeutic interventions {in other words the drug} still had for only justification, if we can say, that the force of routine, the gullible attachment to traditions, or the generalization from some occasional and anecdotal examples abusively called professional experience “.

In a world of health that makes its revolution from an essentially curative medicine to a preventive, predictive, personalized and participative medicine since 2010, in a context of rationalization of health solutions offerings, in an open digital and media universe to the worst manipulations and misinformation, basing NPI practices on science and particularly on rigorous interventional studies is the only way out. These studies can not be exclusively randomized controlled trials with regard to the specificity of these health solutions. Methodological and paradigmatic innovations are needed to make NPIs complementary solutions to biological treatments and integrated into the health care pathway from diagnosis, or even from identified risk behavior (eg smoking). NPIs can not be confined to the major hygienic and dietary principles or to palliative solutions. This context makes NPIs not a brake for general medicine but a real asset. The slides invite GPs to focus more on intervention research and NPIs surveillance to improve prescribing and referral to qualified professionals, primarily to optimize the effectiveness of NPIs for the benefit of patients.

NPIs will become an asset for general practice. 



Bouvenot G, Vray M (2006). Essais cliniques : théorie, pratique et critique (4e edition). Paris: Médecine Sciences Publications.

Haute Autorité de Santé (2011). Développement de la prescription de thérapeutiques non médicamenteuses validées. Paris: HAS Edition.

Ninot G (2014). Définir la notion d’intervention non médicamenteuseBlog en Santé, A16.

To reference this Blog en Sante © article

Ninot G (2017). Non-Pharmacological Interventions (NPIs): an asset for general medicine. Blog en Santé, C8.

© Copyright 2017 Grégory Ninot. All rights reserved.

6 thoughts on “Non-Pharmacological Interventions: Asset for General Medicine
  1. Carel, infirmière. says:

    Au Québec, j’ai l’impression que les médecins sont pieds et poings liés.
    Ce serait intéressant, si le médecin pouvait nous proposer une ordonnance : hygiène de vie et nutrition !

  2. Véronique Planet Medica says:

    Merci pour cet article. Cependant, les médecins généralistes ne sont-ils pas contre cette pratique d’INM? Surtout contre les messages et les interventions non accréditées par eux-mêmes, justement car le dosage des traitements et les effets contradictoires avec les prescriptions médicales représentent un risque pour le patient?

    • Gregory Ninot says:

      Les médecins généralistes, comme on a peut le constater dans leur Congrès national CNGE 2017 à Montpellier souhaitent faire la part des choses entre des solutions non pharmacologiques fondées sur la science, autrement dit des INM, et des solutions dangereuses ou sans effet. Ils souhaitent recommander à leur patients avec plus de certitude certaines INM pour des problèmes de santé qu’ils ont su identifier. Ils souhaitent aussi connaître tous les bénéfices et les risques attendus de chaque INM. Merci de votre commentaire.

  3. In vitro Tunisie says:

    C’est une excellente innovation.

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