[A way of helping "Mr. Minotaur" and "Ms. Ariadne" to exit from the multiple morbidity labyrinth: the "master

J L Turabián1, B Pérez Franco2

  • 1Medicina de Familia y Comunitaria, Centro de Salud Polígono Industrial, Toledo, España.

Semergen
|March 31, 2015
PubMed

Insights

Navigating complex multiple morbidity is challenging. This study introduces "master problems," a qualitative approach using art metaphors to identify hidden issues and guide clinical decision-making for better patient outcomes.

Area of Science:

  • Clinical Decision-Making
  • Qualitative Research Methods
  • Patient Management

Background:

  • Multiple morbidity presents significant challenges for effective clinical decision-making.
  • Existing approaches struggle to manage the complexity and vastness of multiple health conditions.
  • A novel conceptual framework is needed to simplify and guide interventions.

Purpose of the Study:

  • To introduce and explain the concept of "master problems" as a qualitative method.
  • To demonstrate how art metaphors can be used to teach and understand this concept.
  • To provide a framework for identifying and addressing complex patient issues.

Main Methods:

  • Qualitative conceptualization of "master problems."
  • Application of art-world metaphors for teaching and explanation.
  • Analysis of clinical history to identify hidden, high-impact problems.

Main Results:

  • "Master problems" are complex, emotionally resonant issues that guide clinical focus.
  • These problems are often hidden within the details of multiple morbidities.
  • Identifying "master problems" can unlock solutions and improve patient care.

Conclusions:

  • The "master problem" concept offers a new qualitative approach to managing multiple morbidity.
  • This method aids in simplifying complex patient cases by focusing on core issues.
  • Utilizing evocative metaphors enhances understanding and application of the concept in clinical practice.

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