[Two forms of second opinion].
Second Opinions are requested and given for a wide variety of problems in the health care system. It is proposed that such opinions be initially differentiated into "communicative second opinion" (CSO) and "evidence-based second opinion (EBSO). CSOs are frequently set up without a search of the literature, and more in a sense of communication ("that is what I would do too"). In the case of the EBSO, certain demands derived from the principles of evidence-based medicine are expected to be met: examination of the type of problem involved, and the validity and clinical relevance of the clinical data. Of importance is the need to define whether, (on the basis of a scoring system??) for a given problem/question, a proposal threshold (a better options is available) or an exclusion threshold (no data as a basis for an option) is trespassed.
Porzsolt
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AG Klinische Okonomik, Abteilung Psychotherapie und Psychosomatische Medizin und Ulmer Initiative Evidence-Based Medicine der Universität Ulm. franz.porzsolt@medizin.uni-ulm.de
D019317:Evidence-Based Medicine; D005858:Germany; D006801:Humans; D007400:Interprofessional Relations; D012017:Referral and Consultation
Zwei Arten der zweiten Meinung.