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 from Brightsurf:

Towards an AI diagnosis like the doctor's
Artificial intelligence is an important innovation in diagnostics, because it can learn to recognize abnormalities that a doctor would also label as a disease.

Knowledge of cancer diagnosis may affect survival
In a Psycho-Oncology study of adults in China with lung cancer, patients who knew of their cancer diagnosis generally survived longer than those who did not.

CT provides best diagnosis for COVID-19
In a study of more than 1,000 patients published in the journal Radiology, chest CT outperformed lab testing in the diagnosis of 2019 novel coronavirus disease (COVID-19).

3D model of human liver for better diagnosis
Dresden researchers create liver model for improved diagnosis of non-alcoholic fatty liver disease.

Brain changes may help track dementia, even before diagnosis
Even before a dementia diagnosis, people with mild cognitive impairment may have different changes in the brain depending on what type of dementia they have, according to a study published in the September 11, 2019, online issue of Neurology®, the medical journal of the American Academy of Neurology.

What's causing your vertigo? Goggles may help with diagnosis
Vertigo is a form of severe dizziness that can result in a loss of balance, a feeling of falling, trouble walking or standing, or nausea.

Mobile, instant diagnosis of viruses
In a first for plant virology, a team from CIRAD recently used nanopore technology to sequence the entire genomes of two yam RNA viruses.

The Lancet: Early age of type 1 diabetes diagnosis linked to greater heart risks and shorter life expectancy, compared to later diagnosis
Peer reviewed / Observational study / People Life-expectancy for individuals with younger-onset disease is on average 16 years shorter compared to people without diabetes, and 10 years shorter for those diagnosed at an older age.

Diagnosis is a collaborative process
According to family physician Norbert Donner-Banzhoff, building an effective relationship with a patient and making a diagnosis are not separate skills.

New clues to sepsis may speed diagnosis
Researchers at Columbia University Irving Medical Center have found a clue in understanding how an infection can spiral into sepsis by blunting the body's immune response.

Read More: Diagnosis News and Diagnosis Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.