Chana J, Rhys-Maitland R, Hon P, Scott P, Thomas C, Hopkins A
Department of Epidemiology and Preventive Medicine, Medical College of St Bartholomew's Hospital, London.
J R Coll Physicians Lond. 1990 Jul;24(3):185-8.
A survey was undertaken of all hospitals with more than 400 beds in North East Thames Region to ascertain the way in which permission for an autopsy was obtained, in an attempt to explore reasons for declining autopsy rates. We found that there was a considerable variation in autopsy rates, and in the systems within hospitals whereby permission for autopsy is sought. The responsibility for requesting an autopsy is often delegated to younger doctors who have not received any training in how it should be done. A sensitive lay person can achieve high rates of permission for autopsy. Most consultants interviewed stated that they requested less autopsies now than 5 or 10 years ago. They seldom attended autopsies, and one-third of pathologists have given up contacting the clinician before an autopsy.
对泰晤士河北部地区所有拥有400多张床位的医院进行了一项调查，以确定获取尸体解剖许可的方式，试图探究尸体解剖率下降的原因。我们发现，尸体解剖率以及医院内部寻求尸体解剖许可的系统存在很大差异。请求进行尸体解剖的责任通常被委托给没有接受过如何进行尸体解剖培训的年轻医生。一位善解人意的外行人能够获得很高的尸体解剖许可率。大多数接受采访的顾问表示，他们现在进行的尸体解剖比5年或10年前少。他们很少参加尸体解剖，三分之一的病理学家在尸体解剖前已经不再与临床医生联系。
