Jacobs Lee
Lee Jacobs, MD, residing in Atlanta, GA, is the Associate Editor-in-Chief of The Permanente Journal . E-mail:
Perm J. 2009 Summer;13(3):84-9. doi: 10.7812/TPP/09-068.
I first met Lawrence Weed, MD, in 1972 when I was a third-year medical student at the University of Vermont. To this day I remember his passion for a disciplined approach to medical record documentation to optimize the care provided to each individual patient.Now, 35 years later, I was privileged to meet with Dr Weed at his home in Vermont. We discussed when he first was alerted to the nonscientific approach clinicians use to make decisions on patients. The rest of the interview time was spent with Dr Weed teaching me about the solution that he has spent the last 30 years designing and implementing.This interview is published to complement the editorial in the most recent issue of The Permanente Journal (Spring 2009;13[2]:85-7). We believe that in the era of health care reform and quality improvement initiatives, it is important that the medical community take a close look at Dr Weed's total approach decision-making information support defined in this interview.- Lee Jacobs, MD.
1972年,我还是佛蒙特大学三年级的医学生时,第一次见到了劳伦斯·威德医生。直到今天,我仍记得他对采用严谨方法记录病历的热情,其目的是优化为每位患者提供的护理。35年后的现在,我有幸在他位于佛蒙特州的家中与威德医生会面。我们讨论了他最初是何时意识到临床医生在对患者进行决策时采用的非科学方法的。采访的其余时间,威德医生都在向我传授他在过去30年里一直在设计和实施的解决方案。本次采访的发表是为了补充最新一期《永久期刊》(2009年春季;13[2]:85 - 7)中的社论。我们认为,在医疗改革和质量改进倡议的时代,医学界仔细研究本次采访中所定义的威德医生的全面决策信息支持方法非常重要。——李·雅各布斯医生