Ornstein S M, Smith M A, Peggs J, Garr D, Gonzales J
Department of Family Medicine, College of Medicine, Medical University of South Carolina, Charleston 29425.
J Fam Pract. 1990 Apr;30(4):403-8.
Quality assessment is an important component of family medicine research. Actual obstetric outcomes of patients studied by family physician sonographers have not been reported but are relevant to quality assessment. A review of 498 obstetric ultrasound examinations performed by four family physician sonographers at the Medical University of South Carolina and the University of Michigan assessed these physicians' competence by outcome evaluations. The findings are that these physicians accurately predicted the estimated date of confinement, the presence or absence of fetal death, and multiple gestation. They infrequently assessed the fetal sex and were occasionally incorrect when they did so. More study is needed of their competence in the diagnosis of placenta previa, ectopic pregnancy, and fetal anomalies.
质量评估是家庭医学研究的重要组成部分。家庭医生超声检查人员所研究患者的实际产科结局尚未见报道，但与质量评估相关。对南卡罗来纳医科大学和密歇根大学的四名家庭医生超声检查人员进行的498次产科超声检查进行回顾，通过结局评估来评定这些医生的能力。结果发现，这些医生能够准确预测预产期、胎儿是否死亡以及多胎妊娠情况。他们很少评估胎儿性别，偶尔评估时会出现错误。对于他们在前置胎盘、异位妊娠和胎儿异常诊断方面的能力，还需要更多研究。
