Abstract
Assessment of health status as a holistic approach to the whole person is being reintegrated in clinical medicine because of the pressing needs created by chronic diseases and needs for more effective preventive approaches. The need for person-centered assessment has been recognized since ancient times and has been emphasized in the definition of health inscribed in the World Health Organization (WHO) constitution. As a result of the prevalence and burden of chronic disease, there is a strong need for models that highlight health restoration and enhance prevention, recovery, and wellbeing. Measures of health status such as Health-related Quality of Life (HRQOL) have been found to be consistent predictors of outcome and have also been linked to prevention of chronic diseases and to common risk factors. Unfortunately, these assessments have not been incorporated yet into regular clinical practice and care, and, as a result, chronic illnesses have become all too prevalent across the world. The Person-centered Integrative Diagnosis (PID) approach, embodying the vision of Person-centered Psychiatry and Medicine as expressed to a large extent in the various Geneva Declarations and proceedings of the International College of Person-centered Medicine (ICPCM) (http://www.personcenteredmedicine.org/), provides an overarching conceptual framework for an assessment of the health status in an integrated and dynamic manner converging on the person in context as the center and goal of care and public health.
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References
American Psychiatric Association. DSM-IV-TR: diagnostic and statistical manual of mental disorders. Fourth edition, text revision. Washington, DC: American Psychiatric Association;2000.
American Psychiatric Association, A. P. Diagnostic and statistical manual of mental disorders, 3rd edition (DSM III). Washington, DC.: APA;1980.
American Psychiatric Association, A. P. Diagnostic and statistical manual of mental disorders (3rd edition, revised) (DSM III(R)). Washington, DC.: APA;1987.
American Psychiatric Association, A. P. DSM-IV: diagnostic and statistical manual of mental disorders. Fourth Edition, Washington, DC: American Psychiatric Association;1994.
Berganza CE, Mezzich JE, Jorge MR. Latin American guide for psychiatric diagnosis (GLDP). Psychopathology. 2002;35:185–90.
CDC. Measuring healthy days. Center for Disease Control and Prevention: Atlanta, Georgia; 2000.
Chen YF. Chinese classification of mental disorders (CCMD-3): towards integration in international classification. Psychopathology. 2002;35:171–5.
Christodoulou GN. Psychosomatic medicine. New York, NY: Plenum Press; 1987.
Cloninger CR. The positive health domain in person-centered integrative diagnosis. Int J Integr Care. 2010;10(Suppl):e026.
Cloninger CR, Salloum IM, Mezzich JE. The dynamic origins of positive health and wellbeing. Int J Person Centered Med. 2012;2:179–87.
Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38:21–37.
Mezzich JE. On developing a psychiatric multiaxial schema for ICD-10. Br J Psychiatry Suppl. 1988:38–43.
Mezzich JE. The WPA international guidelines for diagnostic assessment. World Psychiatry. 2002;1:36–9.
Mezzich JE. Positive health: conceptual place, dimensions and implications. Psychopathology. 2005;38:177–9.
Mezzich JE, Salloum IM, Cloninger CR, Salvador-Carulla L, Kirmayer LJ, Banzato CEM, Wallcraft J, Botbol M. Person-centred integrative diagnosis: conceptual bases and structural model. Can J Psychiatry (Revue Canadienne de Psychiatrie). 2010;55:701–8.
Mezzich JE, Snaedal J, van Weel C, Botbol M, Salloum I. Introduction to person-centred medicine: from concepts to practice. J Eval Clin Pract. 2011;17:330–2.
Patrick DL, Erickson P. Health status and health policy: quality of life in health care evaluation and resource allocation. New York: Oxford University Press; 1993.
Plato. Harmidis dialogue, 156 E. Athens: Papyros editions;1975.
Rumsfeld JS. Health status and clinical practice: when will they meet? Circulation. 2002;106:5–7.
Saavedra JE, Otero A, Salloum IM, Mezzich JE. The revision of the Latin American guide for psychiatric diagnosis (GLADP): a person centered approach to international classification. Int J Person Centered Med. 2011;1:446–55.
Salloum IM, Mezzich JE. Person-centered diagnosis. Int J Integr Care. 2010;10(Suppl):e027.
Salloum IM, Mezzich JE. Conceptual appraisal of the person-centered integrative diagnosis model. Int J Person Centered Med. 2011;1:39–42.
Salloum IM, Mezzich JE. Outlining the bases of person-centred integrative diagnosis. J Eval Clin Pract. 2011;17:354–6.
Seyer, J. Development of the health improvement card developed by the World Health Professions Alliance. In: ICOPC Medicine, editors. The 5th Geneva Conference of Person-centered Medicine. Geneva, Switzerland; 2012.
World Health Organization. WHO constitution. World Health Organization: Geneva, Switzerland; 1946.
World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 1992.
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Salloum, I.M., Cloninger, C.R., Salvador-Carulla, L., Otero, A.A. (2016). Health Status: From Illness to Wellbeing. In: Mezzich, J., Botbol, M., Christodoulou, G., Cloninger, C., Salloum, I. (eds) Person Centered Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-39724-5_12
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