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Revista Habanera de Ciencias Médicas

versión On-line ISSN 1729-519X

Resumen

SUAREZ BERGADO, Roberto  y  BLANCO ASPIAZU, Miguel Angel. The Clinical Method and its importance for the diagnosis. Rev haban cienc méd [online]. 2007, vol.6, n.1. ISSN 1729-519X.

The Clinical Method, which principles are based on the Scientific Method is the application of this method to the individualized attention of patients. The importance of clinical abilities for the diagnosis such as clinical background and physical exam has been quoted by numerous authors through time. A descriptive study was designed from January to September 2004 to determine the conferred validity of Family Medicine Specialists to the clinical background, the physical exam and the diagnosis tests. These criterions were explored in ten diseases or syndromes in the current clinical practice. At the same time, patient's preferences were established when being attended by these means. An ordinal qualitative scale was utilized as an instrument of evaluation. Out of 492 graduated specialists of less than six years gave a 55 % of value to interrogation in their current practice, this number increased to an 85% when added the physical exam. Less than 20% of all the questioned doctors consider the diagnostic tests as fundamental to diagnosis. Of all the diseases and syndromes that were explored, a 60% of their diagnosis is made by interrogation and physical exam, being of a 70 % in 8 of them. Concerning the patients, an 80% of them conferred more importance to interrogation and physical exam.

Palabras clave : Interrogation; Physical Exam; Diagnostic Tests.

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