Asch David A
Leonard Davis Institute of Health Economics, and VA Center for Health Equity Research and Promotion, University of Pennsylvania, USA.
LDI Issue Brief. 2009 Oct-Nov;15(1):1-4.
Not all physician training programs are alike. Many physicians and non-physicians believe that graduates of some training programs deliver better care, although this intuition has not been tested. Residency programs provide physicians with in-depth specialty training (usually lasting 3-6 years). Can the quality of that training be judged by the downstream outcomes of patients treated by their graduates? Should patients pick their doctors in part by where they trained? This Issue Brief looks at one specialty--obstetrics and gynecology (OB)--and explores whether OB training programs can be distinguished by the quality of care their graduates provide.
并非所有的医师培训项目都是一样的。许多医师和非医师认为,某些培训项目的毕业生能提供更好的医疗服务,尽管这种直觉尚未得到验证。住院医师培训项目为医师提供深入的专科培训(通常持续3至6年)。这种培训的质量能否通过其毕业生治疗的患者的下游结果来判断?患者是否应该部分地根据医生的培训地点来选择医生?本简报着眼于一个专科——妇产科(OB),并探讨妇产科培训项目是否可以通过其毕业生提供的医疗服务质量来区分。