Stratmann W C
Med Care. 1980 Apr;18(4):456-64. doi: 10.1097/00005650-198004000-00009.
It is evident that there is wide difference of opinion about the utility of the problem-oriented approach to health care delivery. Review of the literature on the subject suggests that ongoing debate over the merits of the approach has been fueled by incomplete information about important elements of the problem-oriented philosophy. This essay discusses the arguments for and against the approach, attempts to explain how misunderstandings have limited previous efforts to assess the manual problem-oriented record, and suggests implications for the study of both manual and computerized applications of the problem-oriented approach to care delivery.
显然，对于以问题为导向的医疗服务提供方式的效用，存在着广泛的意见分歧。对该主题文献的回顾表明，关于这种方法优点的持续争论，是由于对以问题为导向理念的重要元素缺乏完整信息而引发的。本文讨论了支持和反对该方法的论点，试图解释误解是如何限制了以往对手工问题导向记录进行评估的努力，并提出了对于研究以问题为导向的护理提供方式的手工和计算机应用的启示。
