{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:42:05Z","timestamp":1777858925922,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Patient care often refers to the broad spectrum of care, prevention, and treatment that a provider delivers, while the point of a differential diagnosis is to make a distinction between 2 or more conditions that share similar signs or symptoms. A broad differential should be considered for every single patient who is currently ill (eg, all patients with respiratory illnesses); without it, there will likely be an increase of misdiagnosis, unnecessary patient suffering, and an influx of patients to the emergency department. The COVID-19 response has forced many of these basic medical values aside, like providing differential diagnosis or practicing bedside manner through social interaction, while physicians struggle to continue care for patients. As a result, newly formed hospital and clinical policies may have dangerously traded everyday diagnosis and treatment of patients for the pandemic and quarantine recommendations. This type of assumptive medicine is based on a singular differential that can be detrimental to patients, who are more likely affected with more common illnesses, like bronchitis or pneumonia\u2014or perhaps, even more threatening illnesses, like a pulmonary embolism, COPD exacerbation, congestive heart failure and even lung cancer. Although these new policies and reactions to COVID-19 are proactive, these actions could be at the cost of providing quality patient care for people who have not contracted COVID-19.<\/jats:p>","DOI":"10.1177\/2150132720959860","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T05:07:47Z","timestamp":1600751267000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Bottom-Up Approach Addressing Patient Care and Differential Diagnosis Amidst the Covid-19 Response"],"prefix":"10.1177","volume":"11","author":[{"given":"Tessa","family":"Zolnikov","sequence":"first","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0106-1214","authenticated-orcid":false,"given":"Tara Rava","family":"Zolnikov","sequence":"additional","affiliation":[{"name":"National University, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"key":"bibr1-2150132720959860","unstructured":"Merriam-Webster. https:\/\/www.merriamwebster.com\/dictionary\/differential%20diagnosis. Accessed March 25, 2020."},{"key":"bibr2-2150132720959860","unstructured":"Centers for Disease Control and Prevention [CDC]. National Center for Health Statistics- Pneumonia. https:\/\/www.cdc.gov\/nchs\/fastats\/pneumonia.htm. Accessed March 25, 2020."},{"key":"bibr3-2150132720959860","doi-asserted-by":"publisher","DOI":"10.1378\/chest.129.1_suppl.95S"},{"key":"bibr4-2150132720959860","doi-asserted-by":"publisher","DOI":"10.7748\/ns.2018.e11123"},{"key":"bibr5-2150132720959860","unstructured":"Centers for Disease Control and Prevention [CDC]. Venous Thromboembolism- Data and Statistics. https:\/\/www.cdc.gov\/ncbddd\/dvt\/data.html. Accessed March 25, 2020"},{"key":"bibr6-2150132720959860","unstructured":"American Cancer Society. Key statistics for lung cancer. https:\/\/www.cancer.org\/cancer\/lung-cancer\/about\/key-statistics.html. Accessed March 25, 2020"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150132720959860","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2150132720959860","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150132720959860","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:22:17Z","timestamp":1777508537000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2150132720959860"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":6,"alternative-id":["10.1177\/2150132720959860"],"URL":"https:\/\/doi.org\/10.1177\/2150132720959860","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"2150132720959860"}}