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[Medical disciplinary boards on gut feelings]
Ulrike M Schuck1, Margje W J van de Wiel2, Geert Jan Dinant1
1Universiteit Maastricht, School for Public Health andPrimary Care, vakgroep Huisartsgeneeskunde.
Nederlands Tijdschrift Voor Geneeskunde
|August 12, 2020
Summary
Dutch medical disciplinary boards recognize patient worry and concern as valuable diagnostic tools. Doctors are expected to discuss these feelings, aligning with international medical literature on patient-centered care.
Area of Science:
- Medical Ethics
- Clinical Diagnostics
- Professional Standards
Background:
- Physicians' intuitive judgments are recognized within Dutch medical professional standards.
- International literature suggests patient and family unease can aid diagnostics.
Purpose of the Study:
- To investigate the perspective of Dutch medical disciplinary boards on the role of patient and family worry and concern in medical diagnostics.
Main Methods:
- A database search of Dutch disciplinary board rulings from 2010-2017 was conducted.
- Rulings were analyzed using the keywords 'ongerust' (worried) and 'bezorgd' (concerned) in relation to patients or their families.
Main Results:
- 55 rulings mentioned 'worried' and 51 mentioned 'concerned' in patient/family contexts.
- Disciplinary boards expect physicians to engage with patient worry and concern.
- These feelings are considered valuable for diagnostics and potential diagnosis review.
Conclusions:
- Dutch medical disciplinary boards view patient and family concern as integral to effective diagnostics.
- This perspective aligns with international findings on the importance of patient-reported unease in clinical practice.
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