Razonamiento clínico en medicina II: hacia una definición integradora

Autores/as

DOI:

https://doi.org/10.17533/10.17533/udea.iatreia.103

Palabras clave:

Errores Médicos, Procesos Mentales, Sesgo, Teoría de las Decisiones, Toma de Decisiones Clínicas

Resumen


El entendimiento del razonamiento clínico es una necesidad para la investigación, la docencia y la práctica clínica. Los modelos teóricos subyacentes podrían agruparse en tres grandes ejes no excluyentes. El primero es denominado bayesiano informal según su estructura semejante al análisis de probabilidades condicionales. El segundo propone (desde las ciencias cognitivas) un razonamiento dual que es la suma de dos tipos de pensamientos: el tipo 1, rápido e intuitivo y, el tipo 2, hipotético-deductivo. El tercero, el conocimiento intersubjetivo que involucra la interacción del saber del paciente sobre su condición con el del médico, además, de hacer explícito el papel de la emoción. En esta segunda entrega se presenta una revisión narrativa de estas teorías para poder proponer una definición integradora, en la que se presenta al razonamiento clínico como un constructo complejo, iterativo y adaptativo.

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Biografía del autor/a

Juan Pablo Zapata-Ospina, Universidad de Antioquia

Médico y cirujano. Especialista en psiquiatría, magíster en epidemiología clínica. PhD(c) en Medicina Clínica. Profesor. Facultad de Medicina

Mario Andrés Zamudio-Burbano, Universidad de Antioquia

Médico y cirujano. Especialista en anestesiología y reanimación, Estudiante de la Maestría en Epidemiología Clínica. Profesor. Facultad de Medicina

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Publicado

2021-03-11

Cómo citar

1.
Zapata-Ospina JP, Zamudio-Burbano MA. Razonamiento clínico en medicina II: hacia una definición integradora. Iatreia [Internet]. 11 de marzo de 2021 [citado 29 de noviembre de 2021];34(4):325-34. Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/342886

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