Klinische besluitvorming
Autor: | Maarsingh, O. R., van der Horst, H. E., van der Windt, D. A.W.M. |
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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 |
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