Levy Mark L, Quanjer Philip H, Booker Rachel, Cooper Brendan G, Holmes Steve, Small Iain
Allergy & Respiratory Research Group, Division of Community Health Sciences:GP section, University of Edinburgh, Scotland, UK.
Prim Care Respir J. 2009 Sep;18(3):130-47. doi: 10.4104/pcrj.2009.00054.
Primary care spirometry services can be provided by trained primary care staff, peripatetic specialist services, or through referral to hospital-based or laboratory spirometry. The first of these options is the focus of this Standards Document. It aims to provide detailed information for clinicians, managers and healthcare commissioners on the key areas of quality required for diagnostic spirometry in primary care--including training requirements and quality assurance. These proposals and recommendations are designed to raise the standard of spirometry and respiratory diagnosis in primary care and to provide the impetus for debate, improvement and maintenance of quality for diagnostic (rather than screening) spirometry performed in primary care. This document should therefore challenge current performance and should constitute an aspirational guide for delivery of this service.
初级保健肺功能检查服务可由经过培训的初级保健人员、巡回专家服务提供，或通过转诊至医院或实验室进行肺功能检查。本标准文件关注的是第一种选择。其目的是为临床医生、管理人员和医疗保健专员提供关于初级保健中诊断性肺功能检查所需关键质量领域的详细信息，包括培训要求和质量保证。这些提议和建议旨在提高初级保健中肺功能检查和呼吸诊断的标准，并为初级保健中进行的诊断性（而非筛查性）肺功能检查的质量辩论、改进和维持提供动力。因此，本文件应挑战当前的表现，并应成为提供这项服务的理想指南。
