TY - JOUR T1 - Four phases of medical action TT - Tıbbi uygulamanın dört aşaması AU - Albasan, Hasan AU - Osborne, Carl A AU - Sancak, Arda AU - Hazıroğlu, Rıfkı PY - 2013 DA - December DO - 10.1501/Vetfak_0000002596 JF - Ankara Üniversitesi Veteriner Fakültesi Dergisi JO - Ankara Univ Vet Fak Derg PB - Ankara University WT - DergiPark SN - 1300-0861 SP - 309 EP - 315 VL - 60 IS - 4 LA - en AB - The goal of this system is to improve the quality of patient care while decreasing the cost of patient care. It consists of four phases of medical action: 1- data-base, 2- problem definition, 3- formulation of plans, and 4- formulation of followup plans to further refine the solution of problems. Proper use of the four phases of medical action allows all observations, interpretations, and diagnostic or therapeutic procedures to be correlated with specific problems, and allows management of each problem in context with all other problems. The system fosters communication and coordination KW - Data-base KW - follow-up plans KW - medical action KW - plan formulation KW - problem definition N2 - Bu sistemin amacı, hasta bakım maliyetini azaltırken hasta bakımının kalitesini arttırmaktır. Bu tıbbi uygulama, dört aşamadan oluşmaktadır; 1 - veri tabanı toplama, 2 - problemin tanımı, 3 - problemlerin çözümü için planların hazırlanışı ve 4- problemlerin çözümü için izlenecek yollar. Tıbbi uygulamanın dört aşamasının doğru kullanımı gözlemlerin, yorumların ve tanı veya tedavi yöntemlerinin spesifik problemlerle ilişkilendirilmesine fırsat verir. Her bir problemin diğer tüm problemlerle birlikte yönetilmesini sağlar. Bu sistem iletişimi ve koordinasyonu teşvik eder CR - Bjorn JC, Cross HD (1970): The Problem Oriented Practice of Private Medicine. Modern Hospital Press, McGraw-Hill, Chicago, USA. CR - Lorenz MD, Schall WD (1977): Modified problem oriented record for 5x8 cards. J Am Anim Hosp Assoc, 13: 323-327. CR - Neelon FA, Ellis GJ (1974): A Syllabus of Problem Oriented Patient care. Little, Brown & Co., Boston, USA. CR - Osborne CA (1975): The transition of quality patient care from an art to a science: The problem oriented concept. J Am Anim Hosp Assoc, 11: 250-260. CR - Osborne CA (1979): The Problem-Oriented Medical System; Improved Knowledge, Wisdom, and Understanding of Patient Care. Vet Clin North Am Small Anim Pract, 13: 745-790. CR - Osborne CA (1995): Diagnosis by rule-out: Judgment in the absence of certainty. 11-13. In: JD Bonagura, RW Kirk (Eds). Kirk’s Current Veterinary Therapy XII. W.B. Saunders Co,. Philadelphia, PA, USA. CR - Saidla JE (1978): Problem-oriented medicine for the veterinarian. J Am Anim Hosp Assoc, 14: 307-330. CR - Saidla JE (1983): Problem-oriented veterinary medical record. In: Ettinger SJ (Ed), Textbook of Veterinary Internal Medicine, Ed.2. W.B. Saunders Co., Philadelphia, USA CR - Saidla JE, Jeffery KL, Lorenz MD (1978): Medical Records Manual. American Animal Hospital Association, Indiana, USA. CR - Sandlow LJ, Bashook PG (1974): Problem Oriented Medical Records. Self-Instruction Handbook. Michael Reese Medical Center, Chicago, USA. CR - Tufo HM, Bouchard RE, Rubin AS (1977): Problem- oriented approach to practice II: Development of the system through audit and implication. J A M A, 238: 502- 505. CR - Weed LL (1971): Medical Records, Medical Education and Patient Care. Year Book Medical Publisher, Chicago, USA. CR - Welser JR (1975): Problem oriented veterinary medical record. In: Ettinger SJ (Ed), Textbook of Veterinary Internal Medicine.W.B. Saunders Co., Philadelphia, USA. UR - https://doi.org/10.1501/Vetfak_0000002596 L1 - https://dergipark.org.tr/en/download/article-file/659423 ER -