Solução de problemas, diagnóstico médico e educação médica

Abstract

O bjective : The author discuss the process of clinical decision and problem solving indicating its impact in the education of health professionals. The importance of the Citizen Health Record (PEC) in the assessment of the health care provided to the population, in the interchange of data and experiences between professionals, as well as the creation of dada bases in the municipalities, states and the federation is also presented. Method: Bibliographic review on the topics covered and the author's experience in discussing these themes.Results and discussion : The medical and health records based on problems, accepting the premises established by Lawrence Weed, was accepted by e.SUS AB (primary care digital system of the Brazilian National Health System SUS) in the structuring of the electronic health record of the citizen . These concepts were contained in the International R egister of Primary Health Care , and will enable the health services to focus on the patient, not on dis eases. Data from these records will inte grate databases in the municipalities, States, and Ministry of Health allowing the development of research using new technologies and artificial intelligence (big data). Studies on the processes involved in health problem solving and analyzing clinical dec ision support systems were presented, as well as the use of algorithms in decision making. Conclusion : The importance of clinical evidence researches to guide decision making on health is stressed. It was also emphasized the importance of developing resear ches on national health problems.