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Related Experiment Video

Updated: Jul 11, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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Published on: May 15, 2020

The necessary shift from diagnostic to prognostic research.

Geert-Jan G J Dinant1, Frank F Buntinx, Chris C C Butler

  • 1Department of General Practice, School for Public Health and Primary Care, Maastricht University, Maastricht, the Netherlands. geertjan.dinant@hag.unimaas.nl

BMC Family Practice
|September 15, 2007
PubMed
Summary

This study questions the necessity of etiological diagnosis for every patient. It suggests that symptom-based treatment, informed by past outcomes, may be more effective, especially in general practice settings.

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Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

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Published on: May 15, 2020

Area of Science:

  • General Practice
  • Clinical Decision-Making
  • Health Economics

Background:

  • Doctors often face patients with undifferentiated diseases, posing diagnostic challenges.
  • Increasing healthcare costs necessitate evaluating diagnostic and treatment strategies.
  • General practice is a key setting for studying undifferentiated conditions.

Purpose of the Study:

  • To evaluate the effectiveness of etiological diagnosis versus symptom-based treatment.
  • To explore the role of prognostic research in clinical decision-making.
  • To address the challenges of diagnosing and treating common conditions in primary care.

Main Methods:

  • Review of recent research examples from general practice.
  • Analysis of cases including respiratory tract infections, low back pain, and shoulder pain.
  • Discussion of the 'something is wrong' feeling in clinical encounters.

Main Results:

  • The article uses specific examples to illustrate the diagnostic and treatment dilemmas.
  • It highlights the complexity of diagnosing conditions like respiratory tract infections, low back pain, and shoulder pain.
  • The 'something is wrong' feeling is discussed as a clinical indicator.

Conclusions:

  • A renewed focus on prognostic research is essential alongside diagnostic research.
  • Symptom-based treatment may be a viable and effective alternative in certain cases.
  • Optimizing clinical decision-making in general practice can improve patient outcomes and manage healthcare costs.