英国国家医疗服务体系（NHS）信托机构中专科住院医师的服务贡献与成本效益：一项调查与成本分析。
Service contribution and cost-effectiveness of specialist registrars in NHS trusts: a survey and costing analysis.
作者信息
Dafydd Derfel Ap, Baskaradas Aroon, Bobdiwala Shabnam, Anwar Muhammad Saleem, Abrahams Rachel, Jeremy Levy
机构信息
Department of Radiology, Imperial College Healthcare NHS Trust, London, UK.
Department of Trauma and Orthopaedics, Imperial College Healthcare NHS Trust, London, UK.
出版信息
Clin Med (Lond). 2016 Jun;16(3):235-9. doi: 10.7861/clinmedicine.16-3-235.
Since the introduction of the European Working Time Directive, specialist registrars arguably contribute less to clinical service. The purpose of this study was to broadly quantify the service contribution of specialist registrars across a range of specialties and their value to an NHS organisation. A questionnaire-based survey of the clinical activities of specialist registrars in a large NHS trust was undertaken. Simple costing analyses of this -clinical activity were performed. Responses from 66 specialist registrars in 24 specialties showed an average of 51% overall clinical autonomy. Trainees attended an average of 2.7 outpatient clinics per week and spent 3.5 sessions a week doing ward work. Medical trainees took more referrals and attended more clinics. An analysis of costings suggested that surgical trainees might have generated around £700,000 income per year for the trust. Overall, specialist registrars make a substantial contribution to NHS clinical service and are cost-effective.
自《欧洲工作时间指令》出台以来，专科住院医师对临床服务的贡献可能有所减少。本研究的目的是大致量化各专科专科住院医师的服务贡献及其对国民保健服务体系（NHS）组织的价值。对一家大型NHS信托机构中专科住院医师的临床活动进行了基于问卷调查的研究。对这项临床活动进行了简单的成本分析。来自24个专科的66名专科住院医师的回复显示，总体临床自主权平均为51%。实习生平均每周参加2.7次门诊，并每周花3.5个时段进行病房工作。医学实习生接收的转诊更多，参加的门诊也更多。成本分析表明，外科实习生每年可能为该信托机构带来约70万英镑的收入。总体而言，专科住院医师对NHS临床服务做出了重大贡献，且具有成本效益。
Zotero 插件