基于叙事的医学的起源和发展
1Section of Legal Medicine Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
La Clinica terapeutica
|April 3, 2025
概括
随着医院的兴起,医疗诊断从主观的患者账户演变为客观的数据收集. 这一转变将医学转变为一种可量化的科学,反映了物理和化学.
科学领域:
- 医学史 医学史 的历史
- 医学认识论医学认识论
背景情况:
- 早期的医学诊断很大程度上依赖于患者的叙述和主观的叙述.
- 18世纪医院的建立和扩张标志着对医疗保健客观数据收集的关键转变.
研究的目的:
- 追踪医学诊断实践的历史演变.
- 分析从主观患者报告的症状过渡到客观的,可量化的疾病指标.
主要方法:
- 医学实践和哲学转变的历史分析.
- 检查医疗进步中的制度化 (医院) 的作用.
主要成果:
- 诊断从以患者为中心的叙述过渡到客观的生物标记.
- 18世纪,疾病的客观化和量化越来越多.
结论:
- 诊断方法的进化巩固了医学作为经验科学的地位.
- 客观的数据收集是现代医学理解和实践的基础.
相关概念视频
Introduction to Documentation and Reporting
1.8K
Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
1.8K
Combination Therapies and Personalized Medicine
4.8K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.8K
Methods of Documentation VI: Case Management Model
546
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
546
Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
Methods of Documentation II: POMR
865
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
865
Methods of Documentation I: Source-Oriented Records
1.1K
Source-oriented records, or SOR, are medical record-keeping organized by the data source. The SOR system was first developed in the mid-1900s to organize the growing patient data in hospitals and other healthcare facilities.
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
1.1K


