David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 19 (1):59-72 (1998)
Diagnostic errors are more frequently a result of the clinician's failure to combine medical knowledge adequately than of data inaccuracy. Diagnostic reasoning studies are valuable to understand and improve diagnostic reasoning. However, most diagnostic reasoning studies are characterized by some limitations which make these studies seem more simple than diagnostic reasoning in real life situations actually is. These limitations are connected both to the failure to acknowledge components of knowledge used in clinical practice as well as to acknowledge the physician-patient relationship's influence on clinical knowledge and on the reasoning process itself. In addition the modes of reasoning described in these studies frequently is oversimplified. In this paper three simplistic and competing models of diagnostic reasoning are analyzed and criticized, followed by an evaluation of two alternative models proposing a combined view.
|Keywords||diagnostic reasoning emotions non-verbal communication uncertainty physician-patient relationship|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Andrew Miles, Michael Loughlin & Andreas Polychronis (2008). Evidence‐Based Healthcare, Clinical Knowledge and the Rise of Personalised Medicine. Journal of Evaluation in Clinical Practice 14 (5):621-649.
James A. Marcum (2012). An Integrated Model of Clinical Reasoning: Dual‐Process Theory of Cognition and Metacognition. Journal of Evaluation in Clinical Practice 18 (5):954-961.
William E. Stempsey (2009). Clinical Reasoning: New Challenges. Theoretical Medicine and Bioethics 30 (3):173-179.
Sandro Tsang (2013). Quantifying Judicious Use of Health Information Technology. Journal of Evaluation in Clinical Practice 19 (2):393-399.
Monica Ortendahl (2008). Models Based on Value and Probability in Health Improve Shared Decision Making. Journal of Evaluation in Clinical Practice 14 (5):714-717.
Similar books and articles
Leendert W. N. Torre & Yao-Hua Tan (1999). Diagnosis and Decision Making in Normative Reasoning. Artificial Intelligence and Law 7 (1).
Mark H. Waymack (2009). Yearning for Certainty and the Critique of Medicine as “Science”. Theoretical Medicine and Bioethics 30 (3):215-229.
Caroline Whitbeck (1981). What is Diagnosis? Some Critical Reflections. Theoretical Medicine and Bioethics 2 (3):319-329.
Kazem Sadegh-Zadeh (1982). Foundations of Clinical Praxiology Part II: Categorical and Conjectural Diagnoses. Theoretical Medicine and Bioethics 3 (1):101-114.
Marx W. Wartofsky (1986). Clinical Judgment, Expert Programs, and Cognitive Style: A Counter-Essay in the Logic of Diagnosis. Journal of Medicine and Philosophy 11 (1):81-92.
Giovanni Barosi, Lorenzo Magnani & Mario Stefanelli (1993). Medical Diagnostic Reasoning: Epistemological Modeling as a Strategy for Design of Computer-Based Consultation Programs. Theoretical Medicine and Bioethics 14 (1).
Jan Doroszewski (1980). Hypothetico-Nomological Aspects of Medical Diagnosis Part I: General Structure of the Diagnostic Process and its Hypothesis-Directed Stage. Theoretical Medicine and Bioethics 1 (2):177-194.
Laurence B. McCullough & Charles E. Christianson (1987). Ethical Dimensions of Diagnosis: A Case Study and Analysis. Theoretical Medicine and Bioethics 2 (2):129-143.
James G. Mazoué (1990). Diagnosis Without Doctors. Journal of Medicine and Philosophy 15 (6):559-579.
Dominick A. Rizzi (1994). Causal Reasoning and the Diagnostic Process. Theoretical Medicine and Bioethics 15 (3):315-333.
Added to index2009-01-28
Total downloads22 ( #163,122 of 1,789,824 )
Recent downloads (6 months)11 ( #75,233 of 1,789,824 )
How can I increase my downloads?