Publikation:

The Phenomenology of the Diagnostic Process : A Primary Care-Based Survey

Lade...
Vorschaubild

Dateien

Donner-Banzhoff_0-354508.pdf
Donner-Banzhoff_0-354508.pdfGröße: 374.82 KBDownloads: 749

Datum

2017

Autor:innen

Donner-Banzhoff, Norbert
Seidel, Judith
Sikeler, Anna Maria
Bösner, Stefan
Vogelmeier, Maria
Westram, Anja
Feufel, Markus
Wegwarth, Odette
Gigerenzer, Gerd

Herausgeber:innen

Kontakt

ISSN der Zeitschrift

Electronic ISSN

ISBN

Bibliografische Daten

Verlag

Schriftenreihe

Auflagebezeichnung

ArXiv-ID

Internationale Patentnummer

Angaben zur Forschungsförderung

Projekt

Open Access-Veröffentlichung
Open Access Green
Core Facility der Universität Konstanz

Gesperrt bis

Titel in einer weiteren Sprache

Publikationstyp
Zeitschriftenartikel
Publikationsstatus
Published

Erschienen in

Medical Decision Making. 2017, 37(1), pp. 27-34. ISSN 0272-989X. eISSN 1552-681X. Available under: doi: 10.1177/0272989X16653401

Zusammenfassung

Background:
While dichotomous tasks and related cognitive strategies have been extensively researched in cognitive psychology, little is known about how primary care practitioners (general practitioners [GPs]) approach ill-defined or polychotomous tasks and how valid or useful their strategies are.

Objective:
To investigate cognitive strategies used by GPs for making a diagnosis.

Methods:
In a cross-sectional study, we videotaped 282 consultations, irrespective of presenting complaint or final diagnosis. Reflective interviews were performed with GPs after each consultation. Recordings of consultations and GP interviews were transcribed verbatim and analyzed using a coding system that was based on published literature and systematically checked for reliability.

Results:
In total, 134 consultations included 163 diagnostic episodes. Inductive foraging (i.e., the initial, patient-guided search) could be identified in 91% of consultations. It contributed an average 31% of cues obtained by the GP in 1 consultation. Triggered routines and descriptive questions occurred in 38% and 84% of consultations, respectively. GPs resorted to hypothesis testing, the hallmark of the hypothetico-deductive method, in only 39% of consultations.

Limitations:
Video recordings and interviews presumably interfered with GPs’ behavior and accounts. GPs might have pursued more hypotheses and collected more information than usual.

Conclusions:
The testing of specific disease hypotheses seems to play a lesser role than previously thought. Our data from real consultations suggest that GPs organize their search for information in a skillfully adapted way. Inductive foraging, triggered routines, descriptive questions, and hypotheses testing are essential building blocks to make a diagnosis in the generalist setting.

Zusammenfassung in einer weiteren Sprache

Fachgebiet (DDC)
150 Psychologie

Schlagwörter

Konferenz

Rezension
undefined / . - undefined, undefined

Forschungsvorhaben

Organisationseinheiten

Zeitschriftenheft

Zugehörige Datensätze in KOPS

Zitieren

ISO 690DONNER-BANZHOFF, Norbert, Judith SEIDEL, Anna Maria SIKELER, Stefan BÖSNER, Maria VOGELMEIER, Anja WESTRAM, Markus FEUFEL, Wolfgang GAISSMAIER, Odette WEGWARTH, Gerd GIGERENZER, 2017. The Phenomenology of the Diagnostic Process : A Primary Care-Based Survey. In: Medical Decision Making. 2017, 37(1), pp. 27-34. ISSN 0272-989X. eISSN 1552-681X. Available under: doi: 10.1177/0272989X16653401
BibTex
@article{DonnerBanzhoff2017-01Pheno-35398,
  year={2017},
  doi={10.1177/0272989X16653401},
  title={The Phenomenology of the Diagnostic Process : A Primary Care-Based Survey},
  number={1},
  volume={37},
  issn={0272-989X},
  journal={Medical Decision Making},
  pages={27--34},
  author={Donner-Banzhoff, Norbert and Seidel, Judith and Sikeler, Anna Maria and Bösner, Stefan and Vogelmeier, Maria and Westram, Anja and Feufel, Markus and Gaissmaier, Wolfgang and Wegwarth, Odette and Gigerenzer, Gerd}
}
RDF
<rdf:RDF
    xmlns:dcterms="http://purl.org/dc/terms/"
    xmlns:dc="http://purl.org/dc/elements/1.1/"
    xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#"
    xmlns:bibo="http://purl.org/ontology/bibo/"
    xmlns:dspace="http://digital-repositories.org/ontologies/dspace/0.1.0#"
    xmlns:foaf="http://xmlns.com/foaf/0.1/"
    xmlns:void="http://rdfs.org/ns/void#"
    xmlns:xsd="http://www.w3.org/2001/XMLSchema#" > 
  <rdf:Description rdf:about="https://kops.uni-konstanz.de/server/rdf/resource/123456789/35398">
    <dc:creator>Donner-Banzhoff, Norbert</dc:creator>
    <dcterms:isPartOf rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43"/>
    <dcterms:abstract xml:lang="eng">Background:&lt;br /&gt;While dichotomous tasks and related cognitive strategies have been extensively researched in cognitive psychology, little is known about how primary care practitioners (general practitioners [GPs]) approach ill-defined or polychotomous tasks and how valid or useful their strategies are.&lt;br /&gt;&lt;br /&gt;Objective:&lt;br /&gt;To investigate cognitive strategies used by GPs for making a diagnosis.&lt;br /&gt;&lt;br /&gt;Methods:&lt;br /&gt;In a cross-sectional study, we videotaped 282 consultations, irrespective of presenting complaint or final diagnosis. Reflective interviews were performed with GPs after each consultation. Recordings of consultations and GP interviews were transcribed verbatim and analyzed using a coding system that was based on published literature and systematically checked for reliability.&lt;br /&gt;&lt;br /&gt;Results:&lt;br /&gt;In total, 134 consultations included 163 diagnostic episodes. Inductive foraging (i.e., the initial, patient-guided search) could be identified in 91% of consultations. It contributed an average 31% of cues obtained by the GP in 1 consultation. Triggered routines and descriptive questions occurred in 38% and 84% of consultations, respectively. GPs resorted to hypothesis testing, the hallmark of the hypothetico-deductive method, in only 39% of consultations.&lt;br /&gt;&lt;br /&gt;Limitations:&lt;br /&gt;Video recordings and interviews presumably interfered with GPs’ behavior and accounts. GPs might have pursued more hypotheses and collected more information than usual.&lt;br /&gt;&lt;br /&gt;Conclusions:&lt;br /&gt;The testing of specific disease hypotheses seems to play a lesser role than previously thought. Our data from real consultations suggest that GPs organize their search for information in a skillfully adapted way. Inductive foraging, triggered routines, descriptive questions, and hypotheses testing are essential building blocks to make a diagnosis in the generalist setting.</dcterms:abstract>
    <dcterms:rights rdf:resource="https://rightsstatements.org/page/InC/1.0/"/>
    <dc:creator>Feufel, Markus</dc:creator>
    <dc:creator>Gaissmaier, Wolfgang</dc:creator>
    <dc:contributor>Westram, Anja</dc:contributor>
    <dc:rights>terms-of-use</dc:rights>
    <dc:language>eng</dc:language>
    <dc:contributor>Feufel, Markus</dc:contributor>
    <dc:creator>Sikeler, Anna Maria</dc:creator>
    <dc:contributor>Donner-Banzhoff, Norbert</dc:contributor>
    <dc:creator>Vogelmeier, Maria</dc:creator>
    <dc:creator>Westram, Anja</dc:creator>
    <dspace:isPartOfCollection rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43"/>
    <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2016-09-23T09:43:45Z</dc:date>
    <dc:creator>Bösner, Stefan</dc:creator>
    <dcterms:issued>2017-01</dcterms:issued>
    <dc:contributor>Vogelmeier, Maria</dc:contributor>
    <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2016-09-23T09:43:45Z</dcterms:available>
    <dc:creator>Gigerenzer, Gerd</dc:creator>
    <dc:contributor>Bösner, Stefan</dc:contributor>
    <dc:contributor>Seidel, Judith</dc:contributor>
    <dc:creator>Seidel, Judith</dc:creator>
    <dcterms:title>The Phenomenology of the Diagnostic Process : A Primary Care-Based Survey</dcterms:title>
    <dspace:hasBitstream rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/35398/1/Donner-Banzhoff_0-354508.pdf"/>
    <dcterms:hasPart rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/35398/1/Donner-Banzhoff_0-354508.pdf"/>
    <void:sparqlEndpoint rdf:resource="http://localhost/fuseki/dspace/sparql"/>
    <dc:creator>Wegwarth, Odette</dc:creator>
    <dc:contributor>Gaissmaier, Wolfgang</dc:contributor>
    <bibo:uri rdf:resource="https://kops.uni-konstanz.de/handle/123456789/35398"/>
    <dc:contributor>Gigerenzer, Gerd</dc:contributor>
    <dc:contributor>Sikeler, Anna Maria</dc:contributor>
    <foaf:homepage rdf:resource="http://localhost:8080/"/>
    <dc:contributor>Wegwarth, Odette</dc:contributor>
  </rdf:Description>
</rdf:RDF>

Interner Vermerk

xmlui.Submission.submit.DescribeStep.inputForms.label.kops_note_fromSubmitter

Kontakt
URL der Originalveröffentl.

Prüfdatum der URL

Prüfungsdatum der Dissertation

Finanzierungsart

Kommentar zur Publikation

Allianzlizenz
Corresponding Authors der Uni Konstanz vorhanden
Internationale Co-Autor:innen
Universitätsbibliographie
Ja
Begutachtet
Diese Publikation teilen