Milenkov Kh, Vasilev I, Anavi B, Khubavenska I, Danev V
Arkh Patol. 1989;51(3):73-6.
The study was performed using questionnaires which were filled in by 114 pathologists and 210 clinicians. The pathologists considered the major attractive professional motivations to be the elucidation of clinical aspects and possibility to be engaged in biopsy diagnosis, the most unattractive thing was a small salary. The clinicians supported the view that an autopsy was obligatory, the ratio of supporters to ++nonsupporters among clinicians and pathologists being 2.5:1 and 1:1, respectively. The average expected autopsy cost is 50 levs, but its real one is 84 levs. The overload of dissectors decreases the quality of autopsies and requires the revision of their performance rates. Pathologists's specialization, contact with clinicians, and labour safety are also discussed in the paper. It is only one half of the clinicians who are able to determine which disease is the major one. The death certificates that are filled in by a physician are insignificant (20% of errors are due to improper diagnosis of the major disease). The authors believe that it is high time to set up a national pathoanatomical record office equipped with computers.
该研究通过问卷调查进行,114名病理学家和210名临床医生填写了问卷。病理学家认为主要的有吸引力的职业动机是阐明临床方面以及参与活检诊断的可能性,最没有吸引力的是薪水低。临床医生支持尸检是必需的这一观点,临床医生和病理学家中支持者与非支持者的比例分别为2.5:1和1:1。尸检的平均预期成本为50列弗,但实际成本为84列弗。解剖人员的超负荷工作降低了尸检质量,需要对他们的工作效率进行调整。本文还讨论了病理学家的专业化、与临床医生的接触以及劳动安全问题。只有一半的临床医生能够确定哪种疾病是主要疾病。医生填写的死亡证明意义不大(20%的错误是由于对主要疾病的诊断不当)。作者认为,是时候建立一个配备计算机的国家病理解剖记录办公室了。