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2024年1月11日发(作者：java语言编译系统是)
医学专业英语阅读翻译
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If patient-centered medicine is to bee a widespread reality in academic
medical centers, educational initiatives must include reform of the
medical record. The medical record is part of the hidden, or informal,
curriculum of medical school and residency that defines for students and
residents the essential ingredients of petent medical care. Whatever its
merits, the conventional, problem-oriented medical record (POMR) is a
pathology-oriented record that helps perpetuate a disease-focused,
biomedical model of practice
如果以病人为中心的医学成为现实，在所以的教学计划中也就应该包含医疗记录的改革。常规的、以疾病为中心的医疗记录（POMR）也就是病理记录，它有助于维护以疾病为中心的生物医学模式。
Patient-centered medicine requires a patient-centered medical record
(PCMR), one that addresses the person and perspective of the patient as
petently as it addresses the patients disease. The author proposes a PCMR
that includes a concise, upfront Patient Profile; speaks of chief concerns,
not chief plaints; makes Patient Perspective a captioned ponent of the
History of Present Illness; replaces the POMRs formula SOAP (Subjective,
Objective, Assessment, Plan) with HOAP (History, Observations,
Assessment, Plan); includes important patient perspectives on the Problem
List; and calls for additional, written attention to the person and
perspective of the patient throughout the course of medical care
以病人为中心的医学就要有一份以病人为中心的医疗记录（PCMR），它的对象是人。它要用主要问题来取代主诉；HOAP（history, observations, assessment,
plan）来取代SOAP(subjective, objective, assessment, plan)。
Patient-centered records can guide and teach clinicians at every level
of training and experience to practice patient-centered medicine.
Moreover, such records can also provide measurable evidence that this
teaching has been successful.
以病人为中心的病历记录可以指导并教育各级临床医务人员实践以病人为中心的医学，而且这些记录也为评价教育情况提供了量化证据。
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