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ROJOSON-PEP-TALK: Patient Management Process - An Overview (Talk - July 10, 2021)
ROJOSON-PEP-TALK: Patient Management Process - An Overview (Talk - July 10, 2021)
Empowerment
MUTE yourself but always
Patient objective - for show your video picture.
Management laypeople to have
Sign in your name, FB
Process – An an understanding account, email address in the
Overview of the Patient Chat Box!
What are the four basic categories of functions or tasks expected of a physician?
Rapport
Diagnosis – Advice
Treatment – Advice
Advice
The general quality standards that can be used for these 4 tasks are
rational, effective, efficient and humane.
Patient
Management
Process – An
Overview
The physician does interview to get symptom data and does physical
examination to get sign data after which he does the clinical diagnostic
processes to come out with the clinical diagnosis.
Patient
Management
Process – An
Overview
The clinical diagnostic processes consist of pattern recognition and
prevalence.
Pattern recognition process means realization that the patient’s
presentation conforms to a previously learned picture or pattern of
disease.
Prevalence process means choice of a diagnosis is based on the frequency
of occurrence of the disease in a certain locality, in a certain age and sex
group, and in the affected organ and system.
Patient
Management
Process – An
Overview CLINICAL DIAGNOSTIC PROCESS - PROCESSING OF DATA – ILLUSTRATION 1
Knowing the common manifestations of 5 different diseases as follows:
Disease A - abcd (manifestations)
Disease B - fghi
Disease C - klmn
Disease D - pqrs
Disease E - uvwx
Given a patient manifesting with pqrs, your diagnosis is Disease D.
What is the process used? PATTERN RECOGNITION
Patient
Management
Process – An
Overview
CLINICAL DIAGNOSTIC PROCESS - PROCESSING OF DATA – ILLUSTRATION 2
Knowing the common manifestations of 3 different diseases and relative
frequency of each as follows:
Disease A - abcd (manifestations) Least common
Disease B - abcd
Disease C - abcd Most common
Given a patient manifesting with abcd, your diagnosis is Disease C.
What is/are processes used? Pattern Recognition but mainly PREVALENCE
Patient
Management
Process – An
Overview
Cleft lip?
Cleft lip?
Option1
Option2
Option3
Patient
Management
Process – An PARACLINICAL DIAGNOSTIC PROCESS – SELECTION - PROCESSING OF
Overview DATA – ILLUSTRATION
Procedures Benefit (goal – to be Risk Cost (PhP) Availability
more definite on the
diagnosis)
Option1 accuracy 99% acceptable 4000 available
Option2 accuracy 90% acceptable 3000 available
Option3 accuracy 60% acceptable 1000 available
Which will be chosen? OPTION 1 if patient can afford. If not, OPTION 2 can be
chosen because it has a 90% accuracy which is high enough.
Patient So, the advice given by the physician at this
Management point consist of explaining the processes of
Process – An selection (BRCA) to choose the most cost-
Overview effective paraclinical diagnostic procedure and
to the desire of the patient.