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容忍家庭医学中的不确定性。

Tolerating uncertainty in family medicine.

作者信息

Thomson G H

出版信息

J R Coll Gen Pract. 1978 Jun;28(191):343-6.

PMID:702447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2158856/
Abstract

In family practice, early undifferentiated signs and symptoms dominate many consultations. A physician must learn to tolerate uncertainty in addition to managing well-defined pathological processes. A series of steps are presented on how to approach the uncertain. I hope these will stimulate further comment and help to develop a body of organized and testable knowledge on the skills of managing the uncertain problems in family practice.

摘要

在家庭医疗中,早期未分化的体征和症状在许多诊疗过程中占主导地位。除了处理明确的病理过程外,医生还必须学会容忍不确定性。本文介绍了一系列应对不确定性的步骤。我希望这些内容能引发更多讨论,并有助于形成一套关于家庭医疗中处理不确定性问题技能的系统且可验证的知识体系。

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1
Tolerating uncertainty in family medicine.容忍家庭医学中的不确定性。
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引用本文的文献

1
Communication of Diagnostic Uncertainty in Primary Care and Its Impact on Patient Experience: an Integrative Systematic Review.基层医疗中诊断不确定性的沟通及其对患者体验的影响:综合系统评价。
J Gen Intern Med. 2023 Feb;38(3):738-754. doi: 10.1007/s11606-022-07768-y. Epub 2022 Sep 20.
2
[Uncertainty and the taking of clinical decisions].[不确定性与临床决策的制定]
Aten Primaria. 2001 Nov 15;28(8):560-4. doi: 10.1016/s0212-6567(01)70448-9.
3
Managing uncertainty in family practice.处理家庭医疗中的不确定性。
Can Med Assoc J. 1982 Apr 15;126(8):915-7.
4
My doctor.我的医生。
J R Soc Med. 1985 Jan;78(1):8-17. doi: 10.1177/014107688507800104.
5
Does physician uncertainty affect patient satisfaction?医生的不确定性会影响患者满意度吗?
J Gen Intern Med. 1988 Mar-Apr;3(2):144-9. doi: 10.1007/BF02596120.
6
Factors which influence the decision whether or not to prescribe: the dilemma facing general practitioners.影响开药与否决策的因素:全科医生面临的困境。
Br J Gen Pract. 1992 Nov;42(364):454-8.

本文引用的文献

1
Beyond diagnosis: an approach to the integration of behavioral science and clinical medicine.超越诊断:行为科学与临床医学整合的一种方法。
N Engl J Med. 1972 Aug 24;287(8):384-7. doi: 10.1056/NEJM197208242870805.
2
Dealing with uncertainty in family medicine.
J Fam Pract. 1975 Dec;2(6):471-2.