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2015, Number 3

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Revista Habanera de Ciencias Médicas 2015; 14 (3)

Psychosocial history and medical diagnosis

Blanco AM, Blanco FA, García ÁJA
Full text How to cite this article

Language: Spanish
References: 14
Page: 307-318
PDF size: 122.98 Kb.


Key words:

psychosocial history, medical diagnosis, biopsychosocial paradigm, medical education.

ABSTRACT

Introduction: in spite of the elapsed time the biologicist paradigm of medical attention has not been substituted by the biopsychosocial paradigm. Psychosocial stories in the clinical records manufactured on ward in hospitals not yet fulfill the diagnosis of the affectation and suffering of the patient.
Objective: evaluating the contribution of the psychosocial stories to the diagnosis of affectation and suffering of hospitalized patients.
Material and Methods: psychosocial stories, medical comments and diagnostic arguments of 83 clinical records of different wards of hospitalization were analyzed. The boarding of affectation and suffering was examined in the same.
Results: the students of medicine accomplish only half of the psychosocial stories of internal medicine wards and no one in the rest of wards under consideration. The information on affectation and suffering is insufficient in the clinical records of surgical wards.
Conclusions: the confection of psychosocial stories by students of medicine happens in the third and sixth year of the career and in finals examination of the subjects of study Propedeutic, Internal Medicine and Psychiatry. The contribution to the diagnosis of the affectation for the disease and of suffering is very scarce in the text of the few psychosocial stories that the students make up as in the rest of the clinical records.


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Revista Habanera de Ciencias Médicas. 2015;14