Kees van Boven

Explaining symptoms in general practice: a predictive processing framework for primary care consultations

Kees van Boven, Peter LBJ Lucassen, Tim olde Hartman, Omer Van den Bergh

AIMS: To present predictive processing as a clinically useful framework for explaining symptom variability in general practice consultations. METHODS: Development of a conceptual framework through an iterative process of theoretical synthesis and clinical translation, informed by a supporting literature search integrating literature …

be (code pays fourni par la source)

[The alarm sounds, but there is no fire].

Kees van Boven, Peter Lucassen, Tim C Olde Hartman, Omer Van den Bergh

Many physical complaints cannot be explained by tissue damage or disease. The predictive-coding model describes the brain as an active predictive system that interprets signals based on expectations and actual input. Complaints arise from a dynamic interplay between predictions and signals, influenced …

us, be (code pays fourni par la source)

Beyond diagnosis in general practice: Predictive processing, a novel framework for persistent physical symptoms

Kees van Boven, Peter Lucassen, Tim C. olde Hartman, Omer Van den Bergh

BACKGROUND: Persistent physical symptoms are among the most common and challenging presentations in general practice, whether investigations are normal or reveal pathology insufficient to explain their severity. Patients and clinicians alike often experience these presentations as a dead end. Traditional biomedical models …

nl, us, be (code pays fourni par la source)

Feasibility and potential effectiveness of a primary care consultation tool: a pilot controlled trial

Simone Postma, Henk Schers, Reinier Akkermans, Kees van Boven et autres

BACKGROUND: The Primary Care Functioning Consultation Tool (PCFCT) supports the integration of different aspects of health related functioning for patients with multimorbidity in disease management programs. AIM: To assess feasibility, satisfaction, and potential effectiveness of the PCFCT on functioning, self-efficacy, illness perceptions, …

nl (code pays fourni par la source)

Updating Canada’s diagnostic coding system for physician billing

Dewdunee Himasara Pathiraja, Kerry McBrien, Jim Dickinson, Noah Crampton et autres

OBJECTIVE: (ICPC-3) compared to the ICD-9. DESIGN: Cross-sectional, pre-implementation study. SETTING: Canada. PARTICIPANTS: Family physicians. MAIN OUTCOME MEASURES: This mixed-methods study used an online patient vignette coding exercise and postcoding survey. Time taken to code and coding consistency were assessed and determined …

ca, nl, nz (code pays fourni par la source)

The course and management of symptom diagnoses in general practice

Asma Chaabouni, Suraya Jubar, Juul Houwen, Reinier Akkermans et autres

Background In general practice, symptom diagnoses are commonly used when patients seek care for symptoms in which no specific disease or disorder can be diagnosed. These diagnoses are prevalent, yet little is known about how they evolve or how General Practitioners (GPs) …

nl, us (code pays fourni par la source)

Course of psychological symptoms and the initial management strategies in general practice using electronic health records in the Netherlands

Asma Chaabouni, Barbara Schouten, Juul Houwen, Peter LBJ Lucassen et autres

BACKGROUND: Patients who consult their GP about psychological complaints, such as feeling anxious or depressed, are often initially given a psychological symptom diagnosis. However, it remains unclear whether these symptoms will develop into psychiatric conditions, which is crucial for informing patients about …

nl (code pays fourni par la source)

When normal tests end care too early

Kees van Boven

Large language models as medical code selectors: a benchmark using the International Classification of Primary Care

Vinicius Anjos de Almeida, Vinicius de Camargo, Raquel Gómez-Bravo, Kees van Boven et autres

Objectives: Medical coding structures health-care data for research, quality monitoring, and policy. This study assesses the potential of large language models (LLMs) to assign International Classification of Primary Care, 2nd edition (ICPC-2) codes using the output of a domain-specific search engine. Materials …

br, nl (code pays fourni par la source)

Problem-Oriented Electronic Health Records and Patient Clinical Outcomes: a Scoping Review

Sıdıka Ece Yokuş, Sandra León-Herrera, Henrique Teruo Arai, Mariela Zaros Galana et autres

lu, tr, es, gb, br, ca, np, nl, be (code pays fourni par la source)

Canadian Family Physician Preferences on Updating the Classification System for Health Conditions and Related Issues

Stephanie Garies, Kerry McBrien, Noah H. Crampton, Kees van Boven et autres

Physician billing claims are used to inform health system planning and for other secondary purposes. In most provinces/territories, diagnoses are coded using a system adopted in 1979, the International Classification of Diseases version 9 (ICD-9). This study aimed to understand the perspectives …

ca, nl, cn, np (code pays fourni par la source)

Large Language Models as Medical Codes Selectors: a benchmark using the International Classification of Primary Care

Vinícius Augusto Reis Almeida, Vinícius Valduga de Almeida Camargo, Raquel Gómez Bravo, Egbert van der Haring et autres

Background: Medical coding structures healthcare data for research, quality monitoring, and policy. This study assesses the potential of large language models (LLMs) to assign ICPC-2 codes using the output of a domain-specific search engine. Methods: A dataset of 437 Brazilian Portuguese clinical …