De Vries T P
Department of Pharmacology and Clinical Pharmacology, Faculty of Medicine, University of Groningen, The Netherlands.
Br J Clin Pharmacol. 1993 Jun;35(6):581-6. doi: 10.1111/j.1365-2125.1993.tb04185.x.
As a guide to the rational choice and prescribing of drugs a normative (ideal) problem-solving model has been developed. This model combines medical problem solving and decision analysis, practical medical aspects, and pharmacological facts and basic principles. It consists of a set of actions or steps: determine the goal for treatment, choose a (drug) treatment, start drug treatment, monitor the results, draw conclusions, determine further action, and stop, alter or continue treatment. All steps require several kinds of skills. The cognitive skills needed include the correct use of pharmacological facts and basic principles in the framework of the whole problem-solving process.
作为合理选择和开具药物的指南，已开发出一种规范性（理想的）问题解决模型。该模型将医学问题解决与决策分析、实际医学方面以及药理学事实和基本原理相结合。它由一系列行动或步骤组成：确定治疗目标、选择（药物）治疗方法、开始药物治疗、监测结果、得出结论、确定进一步行动方案，以及停止、改变或继续治疗。所有步骤都需要多种技能。所需的认知技能包括在整个问题解决过程的框架内正确运用药理学事实和基本原理。
