Schuck Ulrike M, van de Wiel Margje W J, Dinant Geert Jan, Stolper Erik C F
Universiteit Maastricht, School for Public Health andPrimary Care, vakgroep Huisartsgeneeskunde.
Universiteit Maastricht, Faculteit Psychologie en Neurowetenschappen, afd. Arbeids- en Organisatiepsychologie.
Ned Tijdschr Geneeskd. 2020 Jul 16;164:D4884.
Dutch medical disciplinary boards consider physicians' gut feelings an element of the professional standards. Some indications can be found in the international literature suggesting intuitive feelings of unease of patients or their relatives can also contribute to adequate diagnostics. What is the view of disciplinary boards on this? A search in the disciplinary boards' database (2010-2017) found 55 rulings where the search term 'ongerust' (worried) was related to a patient, family member or partner and 51 rulings where the term 'bezorgd' (concerned) was related to a patient, family member or partner. The disciplinary boards expect that doctors are prepared to discuss worry and concern with their patients. Additionally, they consider patients' worry and concern to be a useful part of the doctors' diagnostics, which may possibly result in reviewing the diagnosis. This is consistent with the international literature.
荷兰医学纪律委员会将医生的直觉视为专业标准的一个要素。国际文献中可以找到一些迹象,表明患者或其亲属的直觉不安感也有助于进行充分的诊断。纪律委员会对此有何看法?在纪律委员会的数据库(2010 - 2017年)中进行搜索发现,有55项裁决中搜索词“ongerust”(担忧)与患者、家庭成员或伴侣相关,还有51项裁决中“bezorgd”(关心)一词与患者、家庭成员或伴侣相关。纪律委员会期望医生准备好与患者讨论担忧和关心的问题。此外,他们认为患者的担忧和关心是医生诊断的一个有用部分,这可能会促使重新审视诊断。这与国际文献是一致的。