Nav: Home

Diagnosis is a collaborative process

July 10, 2018

According to family physician Norbert Donner-Banzhoff, building an effective relationship with a patient and making a diagnosis are not separate skills. Rather, diagnosing a patient efficiently and effectively is a process best shared by patient and physician. Donner-Banzhoff introduces the concept of inductive foraging, which begins with inviting patients to describe the problem that brings them to the doctor. "If they are allowed to do this without interference," he writes, "they will lead their clinician to symptoms and problems as they perceive them," often mentioning additional symptoms, associations, and potential explanations or concerns. This is particularly important in primary care, because the problem space, i.e., the universe of potential diagnoses, is vast and the probability of specific diagnoses is small. After the patient has helped define the problem space, physicians can gain additional information by direct questions, however Donner-Banzhoff cautions against testing hypotheses too early, because important information might be missed. This process depends on the quality of the clinician-patient relationship and requires sufficient time and encouragement for the patient to mention all concerns. The result, he states, is a synergistic and ultimately time-saving process of shared enquiry.
-end-
Solving the Dagnostic Challenge: A Patient-Centered Approach
Norbert Donner-Banzhoff, MD, MHSc
University of Marburg, Marburg, Germany
http://www.annfammed.org/content/16/4/353

American Academy of Family Physicians

Related Diagnosis Articles:

Possible early diagnosis of autism spectrum disorder
Measuring a set of proteins in the blood may enable earlier diagnosis of autism spectrum disorder (ASD), according to a study from the Peter O'Donnell Jr.
Are wealthier people more likely to receive a diagnosis of cancer?
Do wealthier people receive too much medical care? The Dartmouth Institute's H.
New method for the diagnosis of autism found
Auditory hypersensitivity is the major complication in autism. The researchers at Mie University in Japan demonstrated, using autism model rats, that morphological abnormality of auditory pathway are involved in this impairment.
Easier diagnosis of esophageal cancer
The Institute of Biological and Medical Imaging at Helmholtz Zentrum München is heading the 'Hybrid optical and optoacoustic endoscope for esophageal tracking' (ESOTRAC) research project, in which engineers and physicians together develop a novel hybrid endoscopic instrument for early diagnosis and staging of esophageal cancer.
Updated cystic fibrosis diagnosis guidelines can help in diagnosis, personalized treatment
An international research group of 32 experts from nine countries has updated the guidelines for diagnosing the genetic disease cystic fibrosis.
Valley fever diagnosis often missed
For patients with pneumonia or ongoing influenza-like symptoms who live in or have visited the west or southwest United States, especially Arizona and central California, infectious diseases experts recommend physicians suspect valley fever, an often-overlooked fungal infection.
New test allows for one-step diagnosis of HCV infection
The current standard in diagnosing Hepatitis C virus (HCV) infection requires two sequential steps that make it suboptimal, costly, inconvenient, time consuming, and globally not widely available or affordable.
On-the-go diagnosis of HIV and HCV co-infections
A group of researchers at McGill University in Montreal has recently developed a portable, paper-based electrochemical platform with multiplexing and telemedicine capabilities that may enable low-cost, point-of-care diagnosis of HIV and HCV co-infections within serum samples.
Autism diagnosis taking too long, experts say
Medical experts in Newcastle, UK, say that children with autism spectrum disorder are still being diagnosed later than they should be, meaning they are not getting access to specialist services early enough.
Novel blood test for Alzheimer's diagnosis
Today, Alzheimer's disease is diagnosed too late. In collaboration with a research team at the university and German Center for Neurogenerative Diseases in Göttingen, Researchers at Ruhr-Universität Bochum have developed a blood test that may potentially facilitate detection of Alzheimer's at an early stage.

Related Diagnosis Reading:

CURRENT Medical Diagnosis and Treatment 2019
by Maxine A. Papadakis (Author), Stephen J. McPhee (Author), Michael W. Rabow (Author)

CURRENT Medical Diagnosis and Treatment 2018, 57th Edition
by Maxine A. Papadakis (Author), Stephen J. McPhee (Author), Michael W. Rabow (Author)

Symptom to Diagnosis An Evidence Based Guide, Third Edition (Lange Medical Books)
by Scott D.C. Stern (Author), Adam S. Cifu (Author), Diane Altkorn (Author)

Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care
by Betty J. Ackley MSN EdS RN (Author), Gail B. Ladwig MSN RN (Author), Mary Beth Flynn Makic RN PhD CNS CCNS CCRN (Author)

Fundamentals of Chinese Medicine Medical Pulse Diagnosis (MPD)
by Robert Doane (Author)

DSM-5TM Handbook of Differential Diagnosis
by Michael B. First (Author), M.D. (Author)

CURRENT Medical Diagnosis and Treatment 2017 (Lange)
by Maxine A. Papadakis Associate Dean for Student Affairs M.D. (Author), Stephen J. McPhee Professor of Medicine M.D. (Author), Michael W. Rabow (Author)

Nurse's Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
by Marilynn E. Doenges APRN BC (Author), Mary Frances Moorhouse RN MSN CRRN (Author), Alice C. Murr BSN RN (Author)

Psychoanalytic Diagnosis, Second Edition: Understanding Personality Structure in the Clinical Process
by Nancy McWilliams (Author)

Handbook of Nursing Diagnosis
by Lynda Juall Carpenito RN MSN CRNP (Author)

Best Science Podcasts 2018

We have hand picked the best science podcasts for 2018. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Unintended Consequences
Human innovation has transformed the way we live, often for the better. But as our technologies grow more powerful, so do their consequences. This hour, TED speakers explore technology's dark side. Guests include writer and artist James Bridle, historians Yuval Noah Harari and Edward Tenner, internet security strategist Yasmin Green, and journalist Kashmir Hill.
Now Playing: Science for the People

#499 Technology, Work and The Future (Rebroadcast)
This week, we're thinking about how rapidly advancing technology will change our future, our work, and our well-being. We speak to Richard and Daniel Susskind about their book "The Future of Professions: How Technology Will Transform the Work of Human Experts" about the impacts technology may have on professional work. And Nicholas Agar comes on to talk about his book "The Sceptical Optimist" and the ways new technologies will affect our perceptions and well-being.