在当代医疗实践中推进诊断管理
Isaac K S Ng1, Zhen Jonathan Liang2, Wilson G W Goh3
1Division of Rheumatology, Department of Medicine, National University Hospital Singapore, Singapore.
Diagnosis (Berlin, Germany)
|August 11, 2025
概括
由于临床推理有缺陷,医疗保健中的过度测试是常见的. 这篇文章介绍了"诊断管理",以促进负责任的测试使用和可持续的患者护理.
科学领域:
- 医学实践 医学实践
- 医疗保健管理的管理
- 临床推理 临床推理
背景情况:
- 过度测试,不适当地使用诊断测试,在现代医学中很普遍.
- 导致过度测试的因素包括医生,患者和系统相关问题.
- 现有的干预措施,如明智选择,在减少过度诊断测试方面取得了有限的成功.
研究的目的:
- 引入"诊断管理"作为一种新的方法,以负责任地使用诊断测试.
- 解释诊断管理在以患者为中心和可持续的医疗保健中的作用.
- 探索导致过度测试的因素及其与有缺陷的临床推理的联系.
主要方法:
- 对诊断管理的文献综述和概念分析.
- 探索导致过度测试的因素.
- 讨论诊断测试行为多层次干预措施.
主要成果:
- 从抗微生物药物管理中改进的诊断管理为负责任的测试使用提供了一个框架.
- 过度测试往往根植于在现实条件下的有缺陷的临床推理.
- 需要多层次的干预措施来解决浪费的诊断测试问题.
结论:
- 诊断管理对于加强以患者为中心和可持续的医疗保健至关重要.
- 解决有缺陷的临床推理和实施有针对性的干预措施可以制过度测试.
- 转向负责任的诊断实践对于改善医疗保健至关重要.
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