The diagnostic process in health care is, at it’s most basic level, an example of the scientific method in action. Data is collected, a hypothesis is tested, and a diagnosis is made in order to then provide the patient with the most effective and appropriate treatment intervention.
Health care currently exists in a reductionist world. The goal has always been to understand complex problems by reducing them to the interaction of the parts. Virtually all health care providers are taught to think in terms of a patho-anatomical model – in terms of tissues, diseases and conditions. But the textbook cases rarely exist. If the clinician can’t put the patient into a nice, neat category, then what do they do? What happens when you can’t push that square peg of clinical presentation into the round hole of diagnosis?
Sadly, the scientific method has the answer: it is a failure of the patho-anatomical model, and of our own thinking.
Allan Besselink, PT, DPT, Ph.D., Dip.MDT has a unique voice in the world of sports, education, and health care. Read more about Allan here.
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