The challenge of clinical reasoning in chronic multimorbidity: time and interactions in the Health Issues Network model.
clinical reasoning
knowledge organization
medical education
multimorbidity
Journal
Diagnosis (Berlin, Germany)
ISSN: 2194-802X
Titre abrégé: Diagnosis (Berl)
Pays: Germany
ID NLM: 101654734
Informations de publication
Date de publication:
01 Nov 2023
01 Nov 2023
Historique:
received:
12
04
2023
accepted:
24
04
2023
medline:
29
11
2023
pubmed:
15
5
2023
entrez:
15
5
2023
Statut:
epublish
Résumé
The increasing prevalence of multimorbidity requires new theoretical models and educational approaches to develop physicians' ability to manage multimorbidity patients. The Health Issues Network (HIN) is an educational approach based on a graphical depiction of the evolutions over time of the concurrent health issues of a patient and of their interactions. From a theoretical point of view, the HIN approach is rooted in Prigogine's vision of the "becoming" of the events and in the concept of knowledge organization, intended as the process of storing and structuring of information in a learner's mind. The HIN approach allows to design clinical exercises to foster learners' ability to detect evolutionary paths and interactions among health issues. Recent findings of neuroscience support the expectation that interpreting, completing, and creating diagrams depicting complex clinical cases improves the "sense of time", as a fundamental competence in the management of multimorbidity. The application of the HIN approach is expected to decrease the risk of errors in the management of multimorbidity patients. The approach is still under validation, both for undergraduate students and for the continuous professional development of physicians.
Identifiants
pubmed: 37183633
pii: dx-2023-0041
doi: 10.1515/dx-2023-0041
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
348-352Informations de copyright
© 2023 Walter de Gruyter GmbH, Berlin/Boston.
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