Three risk assessment measures: Anamnestic Prediction, Actuarial Prediction, and Clinical Prediction.
Do you feel there any circumstances where you would want to choose one particular method over another, and what would those circumstances be?
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Anamnestic prediction is based upon the medical history of a patient. In contrast, the actuarial prediction uses what's happened to others with similar conditions and predicts how a patient's disease might progress or what outcome might be expected. A clinical prediction, on the other hand, is when all things are taken into consideration: the patient's medical history, his medical signs and symptoms, and the probably course of the disease based upon past findings. This allows them to make an educated guess about the long-term prognosis.
I believe in some cases a prognosis can't be made without knowing the patient's medical history. For instance, a patient may go into a clinical trial and be deemed a good candidate for an investigative blood pressure medication. But, in checking the patient's medical history, the doctors discover he has a prior history of heart attacksand aneurisms. It is determined it would be too risky to try and he is dropped from the program. Clinically speaking, he should be a good candidate but his prior history says different.
In conclusion, I think the Anamnestic prediction is the most accurate and reliable prediction and considers what's best for the patient overall.
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