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[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.
Abstract:
Multiple morbidity seems to be "infinite" and so is not easy to make useful decisions. A new concept is introduced: the "master problems", as a qualitative method to facilitate the exit from this maze of multiple morbidity. Metaphors from the art world have been used to teach this concept. These "master problems" generally remain hidden and can only "unravel" between the interstices of multiple morbidity, when the details of the system that defines the problem are explained. A problem with "energy" or a "master problem" is complex, multiple and dramatic or theatrical--everything in the clinical history history make us look into that particular question. It is what gives us a blow to the stomach, which causes our hearts to beat faster, that moves us on many levels, which has a high "density of emotions", human elements, social symbols, and opens solutions in a patient.
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.

