Holdrinet R S
Academisch Ziekenhuis St. Radboud, afd. Hematologie, HB Nijmegen.
Ned Tijdschr Geneeskd. 1999 Dec 4;143(49):2452-4.
Second opinion consultations are an accepted phenomenon in daily clinical practice. In well defined situations such a consultation may be welcomed as a mean to obtain proper medical counselling and advice. However, to preserve a good doctor-patient relationship it is of utmost importance for what reason and by whom such a consultation is initiated. Setting up a specific second opinion outpatient clinic, where oncological patients are welcomed without prior knowledge of the primary consultant, is medically unnecessary and may well be the wrong solution for counselling problems that may originate in busy surgeries of general hospitals.
二次诊断会诊在日常临床实践中是一种公认的现象。在明确界定的情况下，这种会诊可能会作为获得适当医疗咨询和建议的一种方式而受到欢迎。然而，为了维护良好的医患关系，对于启动这种会诊的原因以及由谁来启动至关重要。设立一个专门的二次诊断门诊，在该门诊中，肿瘤患者无需事先告知主诊医生即可就诊，从医学角度来看是不必要的，而且很可能不是解决可能源于综合医院繁忙门诊的咨询问题的正确办法。
