Edwards P, Barry J D, Chatterton M C, Havard T J, Lewis W G
Department of Surgery, Royal Gwent Hospital, Cardiff Road, Newport, NP9 2UB, UK.
Ann R Coll Surg Engl. 2001 Jan;83(1):30-3.
The aim of this study was to assess the volume of work generated by one consultant (out of a surgical unit of seven) managing all the upper gastrointestinal malignancy in a district general hospital serving a population of 480,000. A 3-year period was prospectively audited and the volume of out-patient and in-patient workload assessed with particular reference to resource management and levels of surgical staffing. Oesophagogastric cancer accounted for a mean of 61 new cases per year, representing 5.3% of new patient referrals. Assuming that a complex major operation for an oesophagogastric cancer equates to four intermediate equivalent values (IEVs), then this translated to a mean operative workload of 186 IEVs per year, representing 16.7% of the total elective operative workload of 1140 IEVs per year. Thus, all the oesophagogastric cancer was managed by a single firm as a speciality in a district general hospital over this 3-year period, though a relatively small proportion of new patients with oesophagogastric cancer translated into a significantly greater burden on the resources of consultant manpower and operating theatre time.
本研究的目的是评估一名顾问（在一个由七名外科医生组成的科室中）在一家为48万人口服务的区综合医院管理所有上消化道恶性肿瘤患者所产生的工作量。对一个为期3年的时间段进行前瞻性审核，并评估门诊和住院工作量，特别参考资源管理和外科人员配置水平。食管癌和胃癌每年平均有61例新病例，占新患者转诊的5.3%。假设一台复杂的食管癌或胃癌大手术相当于四个中级等效值（IEV），那么这相当于每年平均手术工作量为186个IEV，占每年1140个IEV的总择期手术工作量的16.7%。因此，在这3年期间，区综合医院中所有的食管癌和胃癌都由一个科室作为专科进行管理，尽管食管癌和胃癌新患者的比例相对较小，但却给顾问人力和手术室时间资源带来了明显更大的负担。
