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‘Next please!’ Psychological and practical consequences of an inconclusive diagnosis

机译:接下来请!不确定诊断的心理和实际后果

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摘要

An inconclusive diagnosis can be a distressing experience, creating on-going problems for both the patient and healthcare professionals. The time frame taken to try to reach a diagnosis can be lengthy. The necessary follow-up processes including referrals to other teams, ongoing assessments, repeat discharges, and re-referrals to other specialities all extend the time frame and result in an increase in anxiety for the patient. For health professionals, as the priority is the assessment and diagnosis of symptoms, there is little time or external support available to manage patient distress. As such, the levels of anxiety often result in practical consequences such as repeat attendance at healthcare services and A&E; and re-referrals due to DNAs (did not attends)/disengagement from services coupled with a renewed desire for a clear diagnosis as symptoms become emotionally and functionally disruptive.
机译:不确定的诊断可能是一种令人痛苦的经历,为患者和医疗保健专业人员创造了持续的问题。试图达到诊断所采取的时间框架可以冗长。必要的后续过程包括对其他团队的转介,正在进行的评估,重复放电和对其他专业的重新转诊所有延长时间框架并导致患者焦虑增加。对于卫生专业人士来说,作为症状的评估和诊断,有很少的时间或外部支持可以管理患者痛苦。因此,焦虑程度通常会导致实际后果,例如经医疗服务和A&E的重复出席;由于DNA(没有参加)/脱离服务的重新推荐,并且随着症状的明确诊断而加强的服务,随着症状变得情绪和功能性破坏性。

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