Volume 21 Issue 3
Mar.  2023
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WANG Jianqiang. General practice thinking and strategy of diagnosis and treatment of undifferentiated diseases[J]. Chinese Journal of General Practice, 2023, 21(3): 485-489. doi: 10.16766/j.cnki.issn.1674-4152.002913
Citation: WANG Jianqiang. General practice thinking and strategy of diagnosis and treatment of undifferentiated diseases[J]. Chinese Journal of General Practice, 2023, 21(3): 485-489. doi: 10.16766/j.cnki.issn.1674-4152.002913
shu

General practice thinking and strategy of diagnosis and treatment of undifferentiated diseases

doi: 10.16766/j.cnki.issn.1674-4152.002913

  • The Second Outpatient Department of Peking University Third Hospital, Beijing 100096, China

Funds:

 MBZX0012022010001

  • Received Date: 2022-07-11
    Available Online: 2023-04-19
    Abstract
  • With the improvement of the medical care system and the enhancement of residents' health awareness, the number of patients seeking treatment for undifferentiated diseases or sub-health problems is increasing. This type of problem is different from chronic diseases in the traditional sense. Norms and guidelines in diagnosis and treatment are lacking. General practitioners are arbitrary in handling, and the patients' satisfaction is low. In addition, the quality of medical services is difficult to evaluate, thereby leading to excessive examination and referral, unreasonable consumption of medical resources and an important factor affecting the smooth implementation of graded diagnosis and treatment. Based on relevant research results at home and abroad, this article conducted a review analysis and experience sharing and provided examples of common symptoms of general practice thinking and the significance of improving the general practice system. Analysing the relationship between sub-health and various functional symptoms and psychosocial factors, as well as the different cognitive characteristics of doctors and patients, enriches the connotation of undifferentiated diseases and elaborates the importance of effective treatment of undifferentiated diseases for strengthening primary medical care. Firstly, starting from the characteristics of undifferentiated diseases, the diagnosis ideas that are different from ordinary diseases are discussed: disease risk investigation is conducted by identifying early warning symptoms and combined with the search for symptom-related psychosocial clues to support judgment. With regard to treatment, comprehensive measures such as symptom improvement, lifestyle management and risk monitoring are adopted, and targeted explanations and consultations are used to promote joint decision-making between doctors and patients. Secondly, by establishing a model of the medical treatment behaviour amongst patients with undifferentiated diseases, we illustrate the core position of general practitioners in dealing with such diseases, and the importance of their role as gatekeepers to medical reform. Finally, general practitioners should pay attention to the research and learning of such diseases. In particular, the concepts and methods of clinical medicine, preventive medicine, social behaviour and other disciplines must be comprehensively applied to enhance patient-centred and demand-oriented medical service capabilities.

     

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