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Tytuł oryginału: Health, disease and illness. P. 1: Do we understand our patients?
Autorzy: Melker Ruut de
Źródło: Probl. Med. Rodz. 2002: 4 (2) s.6-11, tab., bibliogr. 21 poz.
Sygnatura GBL: 313,528

Typ dokumentu:
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie

    Streszczenie angielskie: Health is a dynamic state related to (sub)cultural factors and to good coping behaviour when dealing with day-to-day problems of life, including any symptoms. The doctor's perspective relates to a more or less objective diagnosis, the disease. The patient's perspective relates to feelings, meanings of perceived symptoms, and the illness. Feeling well doesn't mean that a person has no symptoms. On the contrary, having one or more symptoms is normal: about ninety per cent of people experience at least one symptom during any two-week period. However, only about ten per cent of such symptoms are presented to a professional. Even family doctors see only a selected part of the total morbidity spectrum in a population. The main part of total perceived symptoms is bidden, like the submerged portion of an iceberg. It is a mistake to think that this bidden morbidity consists just of minor symptoms. Even very serious symptoms are sometimes not presented to a doctor. We tend to underestimate the importance of self-limiting diseases and self-care. Studies show that there are also a lot of hidden pathogenic microbial agents which are a threat for certain risk groups. There is also a submerged iceberg of chronic diseases. People's views of their symptoms differ from the medical view. The first question in a consultation should not be "What is the diagnosis?", but "Why is this patient asking me for help today?" If the family doctor doesn't clarify why the patient has come to see him, it will lead to a poor patient-doctor relationship, ineffective care, dissatisfaction, and ...

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