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POMR──问题为导向的病历记录,是在1969年weed首先提出来的,逐渐在美国被应用于家庭医学、住院医疗和门诊医疗的病历记录上。该方法是将有关病人健康问题的所有资料经整合后划归在各个问题内,随着问题的增加,新的资料也分别记录在各问题中,直到该问题解决或有明确的转归。由于该方法具有完整性和连续性等优点,逐渐推广到世界许多地方的基层医疗和大医院之中。
The POMR-problem-oriented medical records were first proposed by Weed in 1969 and gradually applied in the United States to medical record records of family medicine, inpatient medical treatment and outpatient medical treatment. This method is to put all the information about the patient’s health problems into the various problems after being integrated. With the increase of the problems, the new information is also recorded in each problem, until the problem is solved or has a clear outcome. Due to the integrity and continuity of the method, it has been gradually promoted to primary and large hospitals in many parts of the world.