Arda SANCAK, Hasan ALBASAN, Carl A OSBORNE, Rıfkı HAZIROĞLU

Tıbbi uygulamanın dört aşaması

Bu sistemin amacı, hasta bakım maliyetini azaltırken hasta bakımının kalitesini arttırmaktır. Bu tıbbi uygulama, dört aşamadan oluşmaktadır; 1 - veri tabanı toplama, 2 - problemin tanımı, 3 - problemlerin çözümü için planların hazırlanışı ve 4- probemlerin çözümü için izlenecek yollar. Tıbbi uygulamanın dört aşamasının doğru kullanımı gözlemlerin, yorumların ve tanı veya edavi yöntemlerinin spesifik problemlerle ilişkilendirilmesine fırsat verir. Her bir problemin diğer tüm problemlerle birlikte yöneilmesini sağlar. Bu sistem iletişimi ve koordinasyonu teşvik eder.

Four phases of medical action

The goal of this system is to improve the quality of patient care while decreasing the cost of patient care. It consists of four phases of medical action: 1- data-base, 2- problem definition, 3- formulation of plans, and 4- formulation of followup plans to further refine the solution of problems. Proper use of the four phases of medical action allows all observations, interpretations, and diagnostic or therapeutic procedures to be correlated with specific problems, and allows management of each problem in context with all other problems. The system fosters communication and coordination.

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Bjorn JC, Cross HD (1970): The Problem Oriented Practice of Private Medicine. Modern Hospital PressMcGraw-Hill, Chicago, USA.
Lorenz MD, Schall WD (1977): Modified problem oriented record for 5x8 cards. J Am Anim Hosp Assoc13: 323-327.
Neelon FA, Ellis GJ (1974): A Syllabus of Problem Oriented Patient care. Little, Brown & Co., Boston, USA.
Osborne CA (1975): The transition of quality patient care from an art to a science: The problem oriented concept.Am Anim Hosp Assoc, 11: 250-260.
Osborne CA (1979): The Problem-Oriented MedicaSystem; Improved Knowledge, Wisdom, and Understanding of Patient Care. Vet Clin North Am SmalAnim Pract, 13: 745-790.
Osborne CA (1995): Diagnosis by rule-out: Judgmentthe absence of certainty. 11-13. In: JD Bonagura, RW Kirk (Eds). Kirks Current Veterinary Therapy XII. W.BSaunders Co,. Philadelphia, PA, USA.
Saidla JE (1978): Problem-oriented medicine forveterinarian. J Am Anim Hosp Assoc, 14: 307-330.
Saidla JE (1983): Problem-oriented veterinary medicarecord. In: Ettinger SJ (Ed), Textbook of Veterinary Internal Medicine, Ed.2. W.B. Saunders Co., PhiladelphiaUSA
Saidla JE, Jeffery KL, Lorenz MD (1978): MedicaRecords Manual. American Animal Hospital AssociationIndiana, USA.
Sandlow LJ, Bashook PG (1974): Problem Oriented Medical Records. Self-Instruction Handbook. MichaeReese Medical Center, Chicago, USA.
Tufo HM, Bouchard RE, Rubin AS (1977): Problemoriented approach to practice II: Development ofsystem through audit and implication. J A M A, 238: 502505.
Weed LL (1971): Medical Records, Medical Education and Patient Care. Year Book Medical Publisher, ChicagoUSA.
Welser JR (1975): Problem oriented veterinary medicarecord. In: Ettinger SJ (Ed), Textbook of Veterinary Internal Medicine.W.B. Saunders Co., Philadelphia, USA