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The family-oriented medical record.

N T Grace, E M Neal, C E Wellock

The Journal of Family Practice

|January 1, 1977

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This study introduces a novel medical charting system designed for family physicians, enhancing the Problem-Oriented Medical Record for family-centered care. The system addresses limitations of individual-focused records in family practice settings.

Area of Science:

Medical Informatics
Family Medicine
Health Information Systems

Background:

Traditional Problem-Oriented Medical Records (POMR) are primarily individual-focused, presenting challenges for family-oriented medical practices.
Existing individually-oriented record systems often create gaps when applied to family-centered care settings.
Family physicians require a charting system that captures crucial family situation aspects alongside individual patient data.

Purpose of the Study:

To present a practical, office-tested medical charting system tailored for family physicians.
To integrate key features of the Problem-Oriented Medical Record (POMR) into a family-oriented framework.
To address the deficiencies of individual-focused records in family practice by incorporating family situation data.

Main Methods:

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Development of a novel medical charting system incorporating elements of the Problem-Oriented Medical Record.
Inclusion of specific features for recording family situation aspects relevant to family physicians.
Office-testing and description of the essential features, advantages, and disadvantages of the developed system.

Main Results:

A practical, office-tested medical charting system has been developed and evaluated.
The system successfully incorporates features of the Problem-Oriented Medical Record.
The system allows for the recording of family situation aspects, mitigating gaps in family-oriented care.

Conclusions:

The proposed charting system effectively bridges the gap between individual-focused medical records and the needs of family-oriented practices.
This system enhances the Problem-Oriented Medical Record by integrating family context, improving comprehensive patient care.
The developed system offers a practical solution for family physicians to manage patient records holistically.