Abstract

BLANCO ASPIAZU, Miguel Angel; SALAZAR ALVAREZ, Yohana; MORALES, Héctor Andrés  and  RAMIREZ CHAVEZ, Justo. ADVANTAGES AND DISADVANTAGES OF THE PATTERN OF CLINICAL HISTORY IN INTERNAL MEDICINE. Rev haban cienc méd [online]. 2010, vol.9, n.2, pp. 211-218. ISSN 1729-519X.

The structure of the models of clinical histories in use for the internists in the hospitals requires of changes that make it more functional and more coherent with the biosicosocial paradigm. Objectives. To value the approaches of educational of educational hospitals of ISCMH. Method. It was carried out a study of qualitative court in which the opinion of doctors of ten hospitals was picked up about the structure and functionality of the pattern of clinical history. These were valued by a nominal group to define some proposals of change. They were carried out 16 signalizations to the models of clinical histories in use and they intended changes in consonance with these signalizations. The models of clinical history require of changes that contribute to satisfy the functions of the same one in having marked in a medical care centered in the problems of the patient's health, more coherent with the paradigm biosicosocial.

Keywords : Clinical history.