Schneeweiss R
J Fam Pract. 1985 May;20(5):487-92.
Effective documentation and monitoring of the ambulatory care experiences of residents have been elusive goals of family practice educators. This article describes a method of aggregating the diagnostic (morbidity) data recorded by the residents using diagnosis clusters. Reports organized by diagnosis clusters are useful and easily interpreted. They facilitate the monitoring and documentation of the diagnostic profile and the recording habits of each resident.
有效地记录和监测住院医生的门诊护理经历一直是家庭医学教育工作者难以实现的目标。本文描述了一种使用诊断聚类来汇总住院医生记录的诊断(发病率)数据的方法。按诊断聚类组织的报告很有用且易于解读。它们有助于监测和记录每个住院医生的诊断概况及记录习惯。