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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Developing a framework for understanding diagnostic reconciliation based on evidence review, stakeholder engagement,
Sandra Algarin Perneth1,2, Gilberto Perez Rodriguez Garcia3, Juan P Brito2
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
This study developed a comprehensive framework for diagnostic reconciliation, outlining key components for collaborative care planning between patients and clinicians to improve diagnostic conversations and patient-centered care.
Area of Science:
- Healthcare Delivery
- Patient-Clinician Communication
- Diagnostic Processes
Background:
- Diagnostic reconciliation, a collaborative patient-clinician process for creating care plans, lacks a defined structure.
- Understanding the components of diagnostic reconciliation is crucial for improving healthcare.
Purpose of the Study:
- To develop the first comprehensive framework to elucidate the diagnostic reconciliation process.
- To identify and categorize the essential elements of effective diagnostic conversations.
Main Methods:
- A multi-step, iterative approach was employed.
- Included a systematic review of diagnostic conversations, quantitative analysis of clinical visit recordings, and extensive stakeholder engagement.
Main Results:
- Seventeen potential components were initially identified.
- A final framework comprising four categories was developed: understanding the need for tests/referrals, logistics, information, and results.
Conclusions:
- The developed framework provides a foundation for evaluating and enhancing diagnostic conversations.
- Clinicians can improve patient-centered diagnosis by co-creating care plans using this framework.
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