Department of Medicine, Stony Brook University, New York, USA.
J Am Coll Cardiol. 2012 Jun 19;59(25):2378-82. doi: 10.1016/j.jacc.2011.11.072.
Public reporting of clinical outcomes data is but one response to calls for increasing transparency in health care. Cardiac surgical operations are among the most commonly performed complex operative procedures. Risk-adjusted cardiac surgery mortality rate data for individual cardiac surgeons are currently available for >25% of the U.S. population as well as for Great Britain and Ireland. Although cardiologists are the primary source of referral of patients for cardiac surgery, surveys of cardiologists and analysis of market share data indicate this information is not being used to refer to cardiac surgeons with the lowest mortality rates. We review the ethical principles that should obligate cardiologists to discuss and use outcomes data, when available, in selecting cardiac surgeons to whom they refer their patients.
公开报告临床结果数据只是对提高医疗保健透明度的呼吁的一种回应。心脏外科手术是最常见的复杂手术之一。目前，美国超过 25%的人口以及英国和爱尔兰都可以获得个别心脏外科医生的风险调整心脏外科死亡率数据。尽管心脏病专家是患者接受心脏手术的主要转诊来源，但对心脏病专家的调查和市场份额数据分析表明，他们并没有利用这些死亡率最低的心脏外科医生的信息。我们回顾了应该使心脏病专家有义务讨论并在选择他们转诊的心脏外科医生时使用可用的结果数据的伦理原则。
