Structured Solutions For Medical History Taking: A Historical Review

H. Neto, M. Cavalcanti, D. T. Correia
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引用次数: 1

Abstract

Introduction: History taking (HT) is the basis for medical practice. Although its format lacks a standard, many HT Instruments (HTI) were developed, applied, and automated throughout history. Objective: To build a history line about HTI development, its pros and cons. Method: We accessed medline and lilacs database through the bvs search engine, using HT equivalents in english, portuguese, french, spanish, and german. Original papers and reviews about HTI aiming general practice were selected, and their content comprehensively analyzed and discussed, following PRISMA guidelines. Results: From 24904 initial entries about HT since 1900, 105 were selected for analysis. First HTI was identified before the 1st World War, mainly as mental screening tools. Later, other general practices HTI were developed, integrating statistical and branching reasoning. Two advantages were consistently reported about clinician time saving and improvement on information gathering. However, their use did not become widespread, restricted to research scenarios and specific guidelines for clinical intervention. Conclusions: HTI benefits may result from ht systematization, and it is not clear if clinical time-saving results in economic and quality of care improvement. However, the systematization of HT and the use of computational processing power may help medical practice and should not be overlooked. Better comprehension of the diagnostic HT clinical act will help comprehend how HTI may be useful for clinical practice, reasoning and doctor patient relationship.
结构化解决方案的病史采取:历史回顾
引言:病史是医学实践的基础。尽管其格式缺乏标准,但历史上许多HT仪器(HTI)都是开发、应用和自动化的。目的:建立一条关于HTI发展、利弊的历史线。方法:我们通过bvs搜索引擎访问medline和丁香数据库,使用英语、葡萄牙语、法语、西班牙语和德语的HT等价物。根据PRISMA指南,选择了针对全科医学的HTI原创论文和综述,并对其内容进行了全面分析和讨论。结果:从1900年以来关于HT的24904个初始条目中,选择105个进行分析。第一次HTI是在第一次世界大战之前被确定的,主要是作为心理筛查工具。后来,开发了其他通用实践HTI,集成了统计和分支推理。关于临床医生节省时间和改进信息收集的两个优点一直被报道。然而,它们的使用并没有变得广泛,仅限于研究场景和临床干预的具体指南。结论:HTI的益处可能来自于ht系统化,目前尚不清楚临床省时是否能提高经济和护理质量。然而,HT的系统化和计算处理能力的使用可能有助于医疗实践,不应被忽视。更好地理解诊断性HT临床行为将有助于理解HTI如何对临床实践、推理和医患关系有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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