Racjonalne modele rozumowania klinicznego

• Autorzy: Wojciech Rutkiewicz

Warianty tytułu

Rational Models of Clinical Reasoning

• Języki publikacji: PL

Abstrakty

Debata dotycząca medycyny opartej na dowodach (EBM) w obecnym stanie coraz częściej skupia się na filozoficznych założeniach paradygmatu ogłoszonego w 1992 roku przez Grupę Roboczą EBM. Jednym z obszarów zainteresowania badaczy jest problem rozumowania klinicznego, prowadzącego do wydania diagnozy oraz podjęcia decyzji klinicznej. W polskiej literaturze temat ten wciąż nie doczekał się wyczerpującego zaprezentowania. W niniejszym artykule dokonuję przeglądu modeli rozumowania klinicznego. Zaczynam od debaty o pojęciu racjonalności, w której wyróżniam dwa stanowiska: melioryzm i panglozjanizm. Następnie przechodzę do omówienia trzech typów ujęcia rozumowania klinicznego w perspektywie meliorystycznej. Omówienie modeli rozumowania lekarskiego z perspektywy debaty o racjonalności daje możliwość przyjrzenia się regułom rozumowania przyświecającym decyzjom klinicznym, co może mieć ciekawe konsekwencje badawcze i edukacyjne. (abstrakt oryginalny)

EN

Debate regarding evidence based medicine in current state focuses on basic philosophical assumptions of paradigm announced in 1992 by EBM Working Group. One of the topic in this debate is clinical reasoning in light of medical decision-making. Polish literature still lacks of comprehensive presentation in this theoretical field. In current article I present overview of models of clinical reasoning. I begin from the debate of rationality distinguishing two positions called meliorism and panglosianism. Next I proceed to elaboration of three models for clinical reasoning in context of meliorists position. It gives an opportunity to look closer for inferential rules of clinical decision-making and as a result may be precious perspective for future research and medical education. (original abstract)

Słowa kluczowe

PL

Medycyna; Procedura diagnozowania; Racjonalność

EN

Medicine; Diagnostic procedure; Rationality

• Czasopismo: Decyzje
• Rocznik: 2019
• Numer: nr 32
• Strony: 77--102

Twórcy

autor

Wojciech Rutkiewicz

• Uniwersytet Warszawski

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Identyfikatory

DOI

10.7206/DEC.1733-0092.132