Conceptual Appraisal of the Person-centered Integrative Diagnosis Model

Abstract

The Person-centered Integrative Diagnosis (PID) is an emerging model of conceptualizing the process and formulation of clinical diagnosis. It aims at implementing into regular clinical practice the principles and vision of Person-centered Medicine, which proposes the whole person in context as the centre and goal of clinical care and public health. The Person-centered Integrative Diagnosis entails a broader and deeper notion of diagnosis, beyond the restricted concept of nosological diagnoses. The PID multilevel schema intends to provide the informational basis for person-centered integration of health care. It involves a formulation of health status through interactive participation and engagement of clinicians, patients, and families using all relevant descriptive tools (categorization, dimensions, and narratives). The PID model, as part of the Person-centered Psychiatry program, is intended to be used in diverse settings across the world and to serve multiple needs in clinical care, education, research, and public health. This paper focuses on the validation of the PID model by assessing its acceptability among practitioners and other stakeholders through international survey and discussion groups. The results of these surveys indicate high levels of conceptual acceptability of the PID model.