El método clínico: muerte y resurrección

dc.creator	Fidel Ilizástigui Dupuy
dc.date	2000-08-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:30:06Z
dc.date.available	2015-07-20T22:30:06Z
dc.identifier	0864-2141
dc.identifier	1561-2902
dc.identifier	https://doaj.org/article/ae5007fa704640b49cf09b83ea4c8625
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/22236
dc.description	Se presenta una reflexión acerca de la pertinencia y actualidad del método clínico, entendido como el proceso del diagnóstico inherente a la medicina práctica humana. Se enuncian consideraciones epistemológicas acerca de la naturaleza científica del método clínico, la taxonomía en la medicina y los "tipos cardinales" del diagnóstico diferencial. Se analiza el proceso del diagnóstico desde la perspectiva de los procesos lógicos, en particular el método hipotético deductivo. Se aborda la activación, refinamiento y evaluación de hipótesis como mecanismos operantes en el proceso del diagnóstico. Se hacen consideraciones respecto al impacto de la tecnología computacional y la adaptación a la misma del método clínico, que resulta enriquecido en vez de empobrecido. Finalmente se valora la pertinencia de una transformación del método clínico, por efecto de la emergencia de un nuevo paradigma de la medicina más expansivo y extensivo, con un basamento hermenéutico del significado y la interpretación del diagnóstico, con el ser humano como eje central y la medicina como ciencia humana y práctica.<br>A reflection about the relevancy and up-to-dateness of the clinical method, considered as the process of diagnosis inherent to human practical medicine is made. Epistemological considerations about the scientific nature of the clinical method, the taxonomy in medicine and the "cardinal types" of the differential diagnosis are given. The process of diagnosis from the point of view of the logical processes and, in particular, the deductive hypothetical method, is analyzed. The activation, refinement, and evaluation of hypotheses as operating mechanisms in the process of diagnosis are approached. Considerations on the impact of computer technology on the clinical method and its improvement are made. Finally, the pertinency of a transformation of the clinical method due to the appearance of a new paradigm of medicine that is more expansive and extensive, with a hermeneutic foundation of the meaning and interpretation of diagnosis, and with the human beign as the central axis and medicine as a human and practical science, is evaluated.
dc.language	Spanish
dc.publisher	Editorial Ciencias Médicas
dc.relation	http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412000000200001
dc.relation	https://doaj.org/toc/0864-2141
dc.relation	https://doaj.org/toc/1561-2902
dc.source	Educación Médica Superior , Vol 14, Iss 2, Pp 109-127 (2000)
dc.subject	MEDICINA CLINICA
dc.subject	DIAGNOSTICO CLINICO
dc.subject	DIAGNOSTICO DIFERENCIAL
dc.subject	CONOCIMIENTO
dc.subject	CLASIFICACION
dc.subject	CLINICAL MEDICINE
dc.subject	DIAGNOSIS, CLINICAL
dc.subject	DIAGNOSIS, DIFFERENTIAL
dc.subject	KNOWLEDGE
dc.subject	CLASSIFICATION
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Medicine (General)
dc.subject	DOAJ:Health Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Medicine (General)
dc.subject	DOAJ:Health Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.title	El método clínico: muerte y resurrección
dc.type	article