Conti C R
Clin Cardiol. 1991 Jun;14(6):447-8. doi: 10.1002/clc.4960140625.
It is obvious that times have changed. Cardiac catheterization laboratories are everywhere. The concerns that must be addressed continually are: 1. Patient safety and quality of patient care. 2. Access to emergency hospitalization. 3. The overseeing of these laboratories. 4. Physician conflict of interest. 5. Need for the laboratory in the region In order to add a new cardiac catheterization laboratory to any region, patient need must be documented. Patient need is the only justification for the development of a new laboratory. I fail to understand how the continuing development of new laboratories will decrease costs, and am concerned that more catheterization laboratories will mean more studies of patients with borderline indications for the procedure.
很明显，时代已经改变。心脏导管插入实验室随处可见。必须持续关注的问题有：1. 患者安全和患者护理质量。2. 紧急住院治疗的可及性。3. 对这些实验室的监管。4. 医生的利益冲突。5. 该地区对实验室的需求 为了在任何地区新增一家心脏导管插入实验室，必须记录患者需求。患者需求是新建实验室的唯一正当理由。我不明白新建实验室如何能持续降低成本，并且担心更多的导管插入实验室意味着会有更多对手术指征临界患者的检查。
