On Wed, Nov 19, 2014 at 02:42:57PM +0000, Thomas Beale wrote: > >>Consider: the proof that something > >>really is considered a 'problem', out of all the non-problems and trivial > >>problems (e.g. one-off throat infection) is that some clinical professional > >>wants to create a care plan, to define ongoing treatment and track > >>interventions (all medications, other interventions etc). > >While I agree that that's something to consider I am creating > >"care plans" all day, for both "complex" and "trivial" > >problems. It is very much in the eye of the beholder what's > >trivial and what's not. My patients are so much the happier > >for their "plan" for "one-off throat infection". > > well that's my point actually. If a doc wants to create a care plan for X, > then X for patient P is by definition a 'problem' in that doc's opinion, and > consequently in P's care.
And that's where I think the care plan distinction breaks down. Good clinical practice would ideally mandate creating a "plan" for any issue brought up during a healthcare-patient encounter. Providers and patients may decide to ignore certain issues in a given setting but that doesn't help much either - the remaining issues would all become problems because they would all ask for a care plan. IOW, since all non-ignored issues want a care plan they all become "problems". Karsten -- GPG key ID E4071346 @ eu.pool.sks-keyservers.net E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346
