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以家庭为导向的病历。

The family-oriented medical record.

作者信息

Grace N T, Neal E M, Wellock C E, Pile D D

出版信息

J Fam Pract. 1977 Jan;4(1):91-8.

PMID:299885
Abstract

The usual form of the Problem-Oriented Medical Record is primarily focused on the individual, and thus has serious deficiencies for the family-oriented physician. This paper presents a practical, office-tested medical charting system that incorporates features of the Problem-Oriented Medical Record and allows the recording of aspects of the family situation that are of particular importance to the family physician. The essential features of the chart are described and the special features, advantages, and disadvantages are discussed. This record has been developed to avoid the gaps that appear when attempts are made to use individually-oriented record systems in a family-oriented practice.

摘要

问题导向型病历的常见形式主要关注个体,因此对于以家庭为导向的医生来说存在严重缺陷。本文介绍了一种实用的、经办公室测试的病历记录系统,该系统融合了问题导向型病历的特点,并允许记录对家庭医生特别重要的家庭情况方面。描述了该病历的基本特征,并讨论了其特殊特征、优点和缺点。开发这种病历是为了避免在以家庭为导向的实践中尝试使用以个体为导向的记录系统时出现的空白。

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