Prasad S, Kapoor P K D, Kumar Aneesh, Reddy K T V, Kumar B N
Department of Otolaryngology-Head and Neck Surgery, North Cheshire Hospitals NHS Trust, Warrington, UK.
J Laryngol Otol. 2004 Jan;118(1):39-45. doi: 10.1258/002221504322731619.
The aim of this study was to find out whether there is a consensus of opinion among healthcare providers and different sections of the public on the relative prioritization of common otolaryngological conditions for outpatient consultations and inpatient treatment. ENT consultants, general practitioners, administrators, NHS employees, non-ENT patients and members of the general public were given common scenarios of otolaryngological conditions and asked to prioritize them in order of importance. All the groups gave top priority for patients with suspected cancer of the larynx (outpatients) and for surgical treatment of cancer. Children with hearing problems were more commonly ranked in the top three categories than children requiring treatment for sore throats. All groups assigned those requiring rhinoplasty, treatment for snoring or hearing aids to the last three ranks. This study shows that there is a remarkable uniformity of opinion in determining clinical priorities which is similar to the traditional policies practised by UK ENT consultants.
本研究的目的是了解医疗服务提供者和不同公众群体在普通耳鼻喉科疾病门诊咨询和住院治疗的相对优先排序上是否存在意见共识。耳鼻喉科顾问、全科医生、管理人员、英国国家医疗服务体系（NHS）员工、非耳鼻喉科患者和普通公众被给出了耳鼻喉科疾病的常见病例，并被要求按重要性顺序对其进行排序。所有群体都将疑似喉癌患者（门诊患者）和癌症手术治疗列为首要优先事项。有听力问题的儿童比需要治疗喉咙痛的儿童更常被排在前三类。所有群体都将需要隆鼻、治疗打鼾或使用助听器的患者排在最后三位。这项研究表明，在确定临床优先事项方面存在显著的意见一致性，这与英国耳鼻喉科顾问所采用的传统政策相似。
