Pauly M V
Milbank Mem Fund Q Health Soc. 1979 Winter;57(1):95-117.
The definition of "unnecessary surgery" has never been made very precise. A useful definition might be provided by the economist's notion of patient costs and benefits as they would be calculated by a fully informed patient-consumer. Combining both clinical information and consumer preferences, it is impossible to demonstrate unnecessary surgery for most diagnoses. Conclusions in recent Congressional reports on unnecessary surgery are not supported by evidence likely to benefit either individual physicians or patients.
“不必要手术”的定义从未非常精确过。一个有用的定义或许可以由经济学家关于患者成本和收益的概念给出，这些成本和收益将由一个完全知情的患者消费者来计算。结合临床信息和消费者偏好，对于大多数诊断而言，都无法证明存在不必要手术。最近国会关于不必要手术的报告中的结论缺乏可能使个体医生或患者受益的证据支持。
