Sensitivity for multimorbidity: The role of diagnostic uncertainty of physicians when evaluating multimorbid video case-based vignettes.

ABSTRACT:

Background

Multimorbidity can be defined as the co-occurrence of two or more chronic medical conditions in one person. Within the diagnostic process, accurately detecting a multimorbid disease pattern still poses a major challenge for most physicians, and is known as a source of diagnostic uncertainty.

Objective

We investigated, how sensitive, confident, and accurate physicians are in diagnosing multimorbid versus monomorbid patients.

Methods

We created eight video case-based vignettes, which differed in type of morbidity (multimorbid versus monomorbid), field of medical specialization (somatic versus mental), and relatedness of underlying diseases (causally related versus unrelated). In total, 74 physicians (GPs, residents in an emergency department and psychiatrists

SUBMITTER: Hausmann D 

PROVIDER: S-EPMC6457556 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature