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Scandinavian Journal of Primary Health Care Volume 37, 2019 - Issue 4
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Research Articles

Diagnostic knowing in general practice: interpretative action and reflexivity

Kirsti MalterudThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark; ;Research Unit for General Practice, NORCE Norwegian Research Centre, Bergen, Norway; ;Department of Global Public Health and Primary Care, University of Bergen, NorwayCorrespondence[email protected]
ORCID Iconhttp://orcid.org/0000-0001-9556-616X
ORCID Icon,
Susanne ReventlowThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark; ORCID Iconhttp://orcid.org/0000-0002-4990-142X
ORCID Icon &
Ann Dorrit GuassoraThe Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark; ORCID Iconhttp://orcid.org/0000-0003-4565-4705
ORCID Icon
Pages 393-401 | Received 11 May 2019, Accepted 06 Aug 2019, Published online: 11 Sep 2019

References

  • Balogh EP, Miller BT, Ball JR, editors. Improving diagnosis in health care – The National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2015.
  • Merriam Webster Dictionary [Internet]. Diagnosis; 2016 Mar 18 [cited 2019 Sep 3]. Available from: http://www.merriam-webster.com/dictionary/diagnosis
  • Jutel AG, Dew K. Social issues in diagnosis: an introduction for students and clinicians. Baltimore: Johns Hopkins University Press; 2014.
  • Daly P. A concise guide to clinical reasoning. J Eval Clin Pract. 2018;24:966–972.
  • McWhinney IR. Problem-solving & decision-making in family practice. Can Fam Physician. 1979;25:1473–1477.
  • Malterud K. The legitimacy of clinical knowledge: towards a medical epistemology embracing the art of medicine. Theor Med. . 1995;16(2):183–198.
  • Malterud K. The art and science of clinical knowledge: evidence beyond measures and numbers. Lancet. 2001;358(9279):397–400.
  • Guassora AD, Reventlow S, Malterud K. Shame, honor and responsibility in clinical dialog about lifestyle issues: a qualitative study about patients' presentations of self. Patient Educ Couns. 2014;97(2):195–199.
  • Malterud K, Guassora AD, Graungaard AH, et al. Understanding medical symptoms: a conceptual review and analysis. Theor Med Bioeth. 2015;36(6):411–424.
  • Elstein AS, Shulman LS, Sprafka SA. Medical problem solving, an analysis of clinical reasoning. Cambridge, MA: Harvard University Press; 1978.
  • Elstein AS, Schwartz A, Schwarz A. Clinical problem solving and diagnostic decision making: selective review of the cognitive literature. BMJ. 2002;324(7339):729–732.
  • Crombie DL. Diagnostic process. J R Coll Gen Pract. 1963;6:579–589.
  • Howie JG. Diagnosis – the Achilles heel? J R Coll Gen Pract. 1972;22(118):310–315.
  • Malterud K. Reflexivity and metapositions: strategies for appraisal of clinical evidence. J Eval Clin Pract. 2002;8(2):121–126.
  • Gigerenzer G, Brighton H. Homo Heuristicus: why biased minds make better inferences. Topn Cognitive Sci. 2009;1(1):107–143.
  • Leder D. Clinical interpretation: the hermeneutics of medicine. Theor Med Bioeth. 1990;11(1):9–24.
  • Engebretsen E, Vollestad NK, Wahl AK, et al. Unpacking the process of interpretation in evidence-based decision making. J Eval Clin Pract. 2015;21(3):529–531.
  • Lonergan BHR. Insight: a study of human understanding. Toronto: University of Toronto Press; 1992.
  • Engebretsen E, Heggen K, Wieringa S, et al. Uncertainty and objectivity in clinical decision making: a clinical case in emergency medicine. Med Health Care and Philos. 2016;19:595–603.
  • Flanagan J. Quest for self-knowledge. An essay in Lonergan's philosophy. Toronto/Buffalo/London: University of Toronto Press; 1997.
  • Den norske legeforening. Tillit – trygghet – tilgjengelighet. Styrking av allmennmedisin og fastlegeordning frem mot år 2020 [Trust – safety – accessibility. Strengthening general practice and the list patient system towards 2020] (in Norwegian). 2009. Available from: http://legeforeningen.no/PageFiles/15792/TILLIT%20-%20TRYGGHET%20-%20TILGJENGELIGHET.pdf (19.04.2018).
  • Cohen H. The nature, methods and purpose of diagnosis. Lancet. 1943;24(6227):23–25.
  • Feinstein AR. Clinical judgment. Baltimore: The Williams & Wilkins Company; 1967.
  • Johansen ML, Holtedahl KA, Rudebeck CE. How does the thought of cancer arise in a general practice consultation? Interviews with GPs. Scand J Prim Health Care. 2012;30(3):135–140.
  • Sackett DL, Rosenberg WM, Gray JA, et al. Evidence based medicine: what it is and what it isn't. BMJ. 1996;312(7023):71–72.
  • Greenhalgh T. Why do we always end up here? Evidence-based medicine's conceptual cul-de-sacs and some off-road alternative routes. J Prim Health Care. 2012;4(2):92–97.
  • Stolper E, Van de Wiel M, Van Royen P, et al. Gut feelings as a third track in general practitioners' diagnostic reasoning. J Gen Intern Med. 2011;26(2):197–203.
  • Ahlsen B, Mengshoel AM, Bondevik H, et al. Physiotherapists as detectives: investigating clues and plots in the clinical encounter. Med Humanities. 2018;44(1):40–45.
  • Malterud K. Diagnosis – a tool for rational action? A critical view from family medicine. Atrium. 2013;11:26–31.
  • Undeland M, Malterud K. The fibromyalgia diagnosis: hardly helpful for the patients? A qualitative focus group study. Scand J Prim Health Care. 2007;25(4):250–255.
  • Undeland M, Malterud K. Diagnostic work in general practice: more than naming a disease. Scand J Prim Health Care. 2002;20(3):145–150.
  • Barnett K, Mercer SW, Norbury M, et al. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2012;380(9836):37–43.

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