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Gepubliceerd in: Huisarts en wetenschap 11/2016

01-11-2016 | Beschouwing

Diagnostisch denken over alledaagse ziekten

Auteurs: Erik Stolper, dr. Margje van de Wiel, Paul van Royen

Gepubliceerd in: Huisarts en wetenschap | Uitgave 11/2016

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Samenvatting

Stolper CF, Van de Wiel MWJ, Van Royen P. Diagnostisch denken over alledaagse ziekten. Huisarts Wet 2016;59(11):478-81.
Ziekten die geregeld in de huisartsenpraktijk voorkomen maar niet chronisch, acuut of mogelijk levensbedreigend zijn, noemen we alledaagse ziekten. Huisartsen lijken goed in staat te zijn om onderscheid te maken tussen alledaagse ziekten en andere, ernstiger ziektebeelden waar ingrijpen vrijwel altijd geboden is, vooral omdat zij prognostisch kunnen denken. Een bepaalde mate van diagnostische onzekerheid is kenmerkend voor het huisartsenvak. We benaderen het diagnostisch beslisproces in dit artikel vanuit drie gezichtspunten: psychologisch, besliskundig en een combinatie van beide. Skilled intuition en contextkennis zijn krachtige instrumenten waarmee huisartsen met enige zekerheid diagnostische of prognostische beslissingen kunnen nemen. Ze maken ook fouten in dat proces – wij laten zien waar het mis kan gaan en hoe dat te voorkomen is. Wij denken dat diagnostische onzekerheid een positieve rol kan spelen. Expliciet feedback zoeken op diagnostische beslissingen en de aanpak van het ziekteproces maakt leren en het ontwikkelen van expertise mogelijk.
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Metagegevens
Titel
Diagnostisch denken over alledaagse ziekten
Auteurs
Erik Stolper
dr. Margje van de Wiel
Paul van Royen
Publicatiedatum
01-11-2016
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Huisarts en wetenschap / Uitgave 11/2016
Print ISSN: 0018-7070
Elektronisch ISSN: 1876-5912
DOI
https://doi.org/10.1007/s12445-016-0293-8

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