Klinische besluitvorming

Autor: Maarsingh, O. R., van der Horst, H. E., van der Windt, D. A.W.M.
Přispěvatelé: General practice, APH - Aging & Later Life, APH - Mental Health
Jazyk: Dutch; Flemish
Rok vydání: 2021
Zdroj: Nederlands Tijdschrift voor Geneeskunde, 165. Bohn Stafleu van Loghum
Maarsingh, O R, van der Horst, H E & van der Windt, D A W M 2021, ' Klinische besluitvorming ', Nederlands Tijdschrift voor Geneeskunde, vol. 165 .
ISSN: 0028-2162
Popis: Traditionally, diagnosis is the basis for clinical decision-making and regarded as the guide to prognosis and treatment. Although some patients may particularly benefit such a diagnosis-oriented approach (e.g., patients with acute pathology for which effective treatment is available), this approach is not suitable or sufficient for others (e.g., patients without a diagnosis, patients with a diagnosis for which no treatment is available, and patients for whom the current treatment is insufficient). Furthermore, other factors than diagnosis or diagnosis-guided treatment are likely to influence an individual's outcome (prognosis), including biological, clinical, and social factors. The authors propose a prognosis-oriented approach as an alternative starting point for medical decision-making: not only ask yourself 'what is the explanation for my patient's complaint?', but also 'which factors contribute to the future outcome of this complaint?' and 'can I address these to benefit my patient's outcome?'.
Databáze: OpenAIRE