N Y State J Med. 1989 Apr;89(4):223-5.
While agreeing that the periodic evaluation of physicians is in the public interest, HANYS believes that the January 1988 Report contains numerous legal and practical problems, contradictions, and invalid assumptions that all call for a re-evaluation of this particular approach. As written, the proposal raises serious concerns regarding the conduct of peer review activities. Further, it may jeopardize the concerted efforts hospitals and their medical staffs are making to improve quality through peer review. Without a more in-depth, thorough, and thoughtful review of these issues, the implementation of this Report's recommendations would not be in the best interests of the people of New York who are served by its physicians and hospitals.
虽然纽约医院联合会认同对医生进行定期评估符合公众利益,但该联合会认为1988年1月的报告存在诸多法律和实际问题、矛盾以及无效假设,所有这些都需要对这一特定方法进行重新评估。照目前的写法,该提议引发了对同行评审活动开展情况的严重担忧。此外,它可能会危及医院及其医务人员通过同行评审提高质量的协同努力。如果不对这些问题进行更深入、全面和深思熟虑的审查,实施本报告的建议将不符合由其医生和医院服务的纽约人民的最佳利益。