...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Family Practice >Functional illness in primary care: dysfunction versus disease
【24h】

Functional illness in primary care: dysfunction versus disease

机译：初级保健中的功能性疾病：功能障碍与疾病

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background The Biopsychosocial Model aims to integrate the biological, psychological and social components of illness, but integration is difficult in practice, particularly when patients consult with medically unexplained physical symptoms or functional illness. Discussion This Biopsychosocial Model was developed from General Systems Theory, which describes nature as a dynamic order of interacting parts and processes, from molecular to societal. Despite such conceptual progress, the biological, psychological, social and spiritual components of illness are seldom managed as an integrated whole in conventional medical practice. This is because the biomedical model can be easier to use, clinicians often have difficulty relinquishing a disease-centred approach to diagnosis, and either dismiss illness when pathology has been excluded, or explain all undifferentiated illness in terms of psychosocial factors. By contrast, traditional and complementary treatment systems describe reversible functional disturbances, and appear better at integrating the different components of illness. Conventional medicine retains the advantage of scientific method and an expanding evidence base, but needs to more effectively integrate psychosocial factors into assessment and management, notably of 'functional' illness. As an aid to integration, pathology characterised by structural change in tissues and organs is contrasted with dysfunction arising from disordered physiology or psychology that may occur independent of pathological change. Summary We propose a classification of illness that includes orthogonal dimensions of pathology and dysfunction to support a broadly based clinical approach to patients; adoption of which may lead to fewer inappropriate investigations and secondary care referrals and greater use of cognitive behavioural techniques, particularly when managing functional illness.
机译：背景技术生物心理社会学模型旨在整合疾病的生物学，心理和社会组成部分，但在实践中难以整合，尤其是当患者咨询无法解释的身体症状或功能性疾病时。讨论该生物心理社会模型是根据通用系统理论开发的，该系统将自然描述为从分子到社会的相互作用的各个部分和过程的动态顺序。尽管在概念上取得了这样的进步，但疾病的生物学，心理，社会和精神组成部分却很少在常规医学实践中作为一个整体进行管理。这是因为生物医学模型更易于使用，临床医生通常难以放弃以疾病为中心的诊断方法，或者在排除病理因素后消除疾病，或者从心理社会因素上解释所有未分化的疾病。相比之下，传统的和互补的治疗系统描述了可逆的功能障碍，并且在整合疾病的不同组成部分方面表现得更好。传统医学保留了科学方法和不断扩展的证据基础的优势，但需要更有效地将社会心理因素纳入评估和管理，尤其是“功能性”疾病的评估和管理。作为整合的辅助手段，以组织和器官的结构变化为特征的病理学与生理学或心理失常引起的功能障碍形成对比，这种失调可能独立于病理学变化而发生。总结我们提出了一种疾病分类，其中包括病理学和功能障碍的正交维度，以支持针对患者的广泛临床方法。采用这种方法可能会减少不适当的调查和二级保健转诊，并更多地使用认知行为技术，尤其是在管理功能性疾病时。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号