Back to basics: The forgotten art of patient history-taking and why it’s important 

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By Chetana Belagere

27/09/2023

In the bustling corridors of the modern medical world, a time-honoured practice is often overshadowed by the clamour for rapid solutions the art of patient history-taking.

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An inquiry into the patient’s medical and surgical history, and even family medical and social history. The doctor learns of allergies, the medications one is on, or may have been on.

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“Taking a complete history is important in order to focus. One cannot blindly investigate with expensive tests in all possible directions,” says Dr Deepak Krishnamurthy from Bengaluru.

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At the core of patient history-taking is the art of listening. When a healthcare provider attentively listens to a patient, a whole new dimension of understanding opens up.

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Dr Jala Bapu Reddy, says, “A clinician can attain a remarkable 60 to 70 percent clinical diagnosis. This diagnosis is the foundation upon which further investigations are based.”

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“History-taking is important for all specialties, but probably the most important for neurology. Most diseases can be diagnosed based on history alone,” Dr Sudhir Kumar says.

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Dr Aditya N, a clinical psychologist says, “Establishing trust and rapport is crucial. Taking the time to listen, showing empathy and valuing experiences can improve treatment outcomes.”

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The good news is, the timeless art of patient history-taking is experiencing a reawakening. As technology continues to revolutionise, the significance of this practice is being underscored.

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