Both evaluation of treatment programs and the problem-oriented record (POR) are in vogue in psychiatry. Although the POR in its present form can enhance communication and organization, it is unlikely that it will contribute greatly to teaching, research, or to the development of treatment efficacy, since these enterprises require evaluative information available only from patient follow-up, which is the cardinal feature missing from the POR.
The inclusion of a follow-up component in the POR represents a natural extension of progress notes and is pragmatic enough to be considered as part of routine practice.
McLean PD, Miles JE. Evaluation and the Problem-Oriented Record in Psychiatry. Arch Gen Psychiatry. 1974;31(5):622-625. doi:10.1001/archpsyc.1974.01760170022003