Towards an overarching model for electronic medical-record systems, including problem-oriented, goal-oriented, and other approaches
| Autor: | Huibert Tange, Zsolt Nagykaldi, Jan De Maeseneer |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | European Journal of General Practice, Vol 23, Iss 1, Pp 257-260 (2017) |
| Druh dokumentu: | article |
| ISSN: | 1381-4788 1751-1402 13814788 |
| DOI: | 10.1080/13814788.2017.1374367 |
| Popis: | There is no consensus among health professionals on how to structure medical records to serve clinical decision-making. Three approaches co-exist (source-oriented, problem-oriented, goal-oriented), each suiting a different subset of patients. In primary care, the problem-oriented approach is dominant, but for patients with multiple conditions (multimorbidity) the goal-oriented approach seems more appropriate. There is a need to combine different approaches in one medical-record system. In this article, we explain some misconceptions about ‘problems’ and ‘goals’ that hinder the way to consensus. When putting the approaches into historical perspective, it becomes evident that each relates to a different definition of health. Each approach has its specific merits that should be preserved even when health definitions change. Hence, we combine the merits of each approach into one overarching model, as to show the way to a new generation of electronic medical-record systems that can serve all patients. This model has three levels: a level of problems, diseases, and patient goals, a level of (shared) objectives, and a level of action plans and results. |
| Databáze: | Directory of Open Access Journals |
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