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July 29, 1974

The Problem-Oriented Medical Record: Experiences in a Community Military Hospital

Author Affiliations

From the Department of Medicine, Beach Army Hospital, Fort Wolters, Tex. Dr. Aranda is now with the University of Miami School of Medicine and Veterans Administration Hospital, Miami, Fla.

JAMA. 1974;229(5):549-551. doi:10.1001/jama.1974.03230430041025

A problem-oriented approach to the keeping of medical records is said to enable more efficient record use, more effective communication, and improved patient care. To our knowledge, no reports describe use of the problem-oriented medical record in community hospitals.

The problem-oriented system was implemented in our clinics, and a number of problem-oriented and source-oriented records chosen at random were compared. There was no statistical difference between the two groups of records in the number of problems identified or in the availability of objective data and adequacy of follow-up.

(JAMA 229:549-551, 1974)