Clinical reasoning in medicine I: A historical journey
Medical error is a public health problem, that may be related to failures in a doctor’s decision-making about a patient’s diagnosis, treatment, or prognosis, that is, in medical reasoning. Despite its importance, the understanding of clinical reasoning has been heterogeneous, with the use of multipl...
| Main Authors: | , |
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
2021-07-01
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| Series: | Iatreia |
| Subjects: | |
| Online Access: | https://revistas.udea.edu.co/index.php/iatreia/article/view/343200/20804898 |
| _version_ | 1828135620901339136 |
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| author | Zapata Ospina, Juan Pablo Zamudio Burbano, Mario Andrés |
| author_facet | Zapata Ospina, Juan Pablo Zamudio Burbano, Mario Andrés |
| author_sort | Zapata Ospina, Juan Pablo |
| collection | DOAJ |
| description | Medical error is a public health problem, that may be related to failures in a doctor’s decision-making about a patient’s diagnosis, treatment, or prognosis, that is, in medical reasoning. Despite its importance, the understanding of clinical reasoning has been heterogeneous, with the use of multiple definitions and theoretical models, which focus on different aspects of the processing that physicians elaborate about taking care of a patient. This conceptual diversity can be explained by the influence of the historical context. How physicians think can be seen from magical thinking in Antiquity, through Renaissance rationalism and the modern scientific approach, to current models of dual thinking and probability estimation. What seems to be constant is that it has an explanatory mission of knowing what happens to the patient, although the ultimate goal is more to understand the patient’s experience. In this narrative review, this evolution is presented with a timeline, which summarizes the ways of conceiving reasoning in medicine according to the historical context. |
| first_indexed | 2024-04-11T17:49:44Z |
| format | Article |
| id | doaj.art-584ac74886f740148055f081112be517 |
| institution | Directory Open Access Journal |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| last_indexed | 2024-04-11T17:49:44Z |
| publishDate | 2021-07-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj.art-584ac74886f740148055f081112be5172022-12-22T04:11:09ZspaUniversidad de AntioquiaIatreia0121-07932011-79652021-07-0134423224010.17533/udea.iatreia.102Clinical reasoning in medicine I: A historical journey Zapata Ospina, Juan Pablo0Zamudio Burbano, Mario Andrés1Universidad de AntioquiaUniversidad de AntioquiaMedical error is a public health problem, that may be related to failures in a doctor’s decision-making about a patient’s diagnosis, treatment, or prognosis, that is, in medical reasoning. Despite its importance, the understanding of clinical reasoning has been heterogeneous, with the use of multiple definitions and theoretical models, which focus on different aspects of the processing that physicians elaborate about taking care of a patient. This conceptual diversity can be explained by the influence of the historical context. How physicians think can be seen from magical thinking in Antiquity, through Renaissance rationalism and the modern scientific approach, to current models of dual thinking and probability estimation. What seems to be constant is that it has an explanatory mission of knowing what happens to the patient, although the ultimate goal is more to understand the patient’s experience. In this narrative review, this evolution is presented with a timeline, which summarizes the ways of conceiving reasoning in medicine according to the historical context.https://revistas.udea.edu.co/index.php/iatreia/article/view/343200/20804898biasclinical decision-makingdecision support techniquesdecision theoryheuristicshistory of medicine |
| spellingShingle | Zapata Ospina, Juan Pablo Zamudio Burbano, Mario Andrés Clinical reasoning in medicine I: A historical journey Iatreia bias clinical decision-making decision support techniques decision theory heuristics history of medicine |
| title | Clinical reasoning in medicine I: A historical journey |
| title_full | Clinical reasoning in medicine I: A historical journey |
| title_fullStr | Clinical reasoning in medicine I: A historical journey |
| title_full_unstemmed | Clinical reasoning in medicine I: A historical journey |
| title_short | Clinical reasoning in medicine I: A historical journey |
| title_sort | clinical reasoning in medicine i a historical journey |
| topic | bias clinical decision-making decision support techniques decision theory heuristics history of medicine |
| url | https://revistas.udea.edu.co/index.php/iatreia/article/view/343200/20804898 |
| work_keys_str_mv | AT zapataospinajuanpablo clinicalreasoninginmedicineiahistoricaljourney AT zamudioburbanomarioandres clinicalreasoninginmedicineiahistoricaljourney |