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家庭医疗中的诊断测试。

Diagnostic testing in family practice.

作者信息

Birtwhistle R V

出版信息

Can Fam Physician. 1988 Feb;34:327-31.

PMID:21253047
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2218749/
Abstract

Laboratory and radiological investigations are central to the diagnosis and management of our patients' health problems. Physicians often order a diagnostic test routinely without giving much thought to the benefits, risks, and costs of the test. The increase in the number and use of diagnostic tests has contributed to the rising cost of health care over the last two decades. By consciously following a process when ordering tests, physicians may improve the effectiveness and efficiency of the tests they request. This paper provides a background and approach to the rational use of diagnostic tests.

摘要

实验室检查和影像学检查对于诊断和处理我们患者的健康问题至关重要。医生常常常规性地开具诊断检查,却很少考虑该检查的益处、风险和成本。在过去二十年中,诊断检查的数量增加及其使用频率上升,导致了医疗保健成本的不断攀升。通过在开具检查时有意识地遵循一定流程,医生可以提高他们所要求检查的有效性和效率。本文提供了合理使用诊断检查的背景和方法。

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Diagnostic investigations in family practice.家庭医疗中的诊断性检查。
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本文引用的文献

1
The baseline ECG in the evaluation of acute cardiac complaints.
JAMA. 1980 Dec 5;244(22):2536-9.
2
The predictive value of prostatic acid phosphatase as a screening test for prostatic cancer.
N Engl J Med. 1980 Aug 28;303(9):497-9. doi: 10.1056/NEJM198008283030905.
3
The clinical value of the upper gastrointestinal tract roentgenogram series.
Arch Intern Med. 1980 Feb;140(2):191-5.
4
Psychologically mediated effects of diagnostic tests.
Ann Intern Med. 1981 Dec;95(6):680-5. doi: 10.7326/0003-4819-95-6-680.
5
Screening for colorectal cancer.结直肠癌筛查
J Fam Pract. 1981 Apr;12(4):625-32.
6
Adverse effects of diagnostic tests. A study of the quality of reporting.
Arch Intern Med. 1982 May;142(5):883-7.
7
The usefulness of chest radiographs in first asthma attacks.胸部X光片在首次哮喘发作中的作用。
N Engl J Med. 1983 Aug 11;309(6):336-9. doi: 10.1056/NEJM198308113090603.
8
[Utilization of diagnostic tests in a family medicine service].[家庭医疗服务中诊断测试的应用]
Can Med Assoc J. 1983 Nov 1;129(9):934-7.
9
Prospective comparison of three non-invasive tests for pancreatic disease.三种胰腺疾病非侵入性检测方法的前瞻性比较
Br Med J (Clin Res Ed). 1984 Jul 7;289(6436):13-6. doi: 10.1136/bmj.289.6436.13.
10
Laboratory and radiological investigations in general practice. II-Expectation and outcome.全科医疗中的实验室及影像学检查。II-预期与结果
Br Med J (Clin Res Ed). 1983 Oct 15;287(6399):1111-3. doi: 10.1136/bmj.287.6399.1111.