临床实践中的差异：再谈森林与树木。
Variation in clinical practice: forests and trees revisited.
机构信息
Institute of Health Policy, Management &Evaluation, University of Toronto, 155 College Street, Toronto, Ontario M5T M36, Canada.
Department of Surgery, University of Toronto, 149 College Street, Toronto, Ontario M5T 1P5, Canada.
出版信息
Nat Rev Urol. 2017 Sep;14(9):511-512. doi: 10.1038/nrurol.2017.102. Epub 2017 Jun 27.
Variations in clinical practice are commonly viewed as a sign of uneven quality of care and attributed to provider self-interest. However, patient preferences, physician practice patterns, and diagnostic and therapeutic uncertainty also cause variations. Greater attention to both doctor-patient interactions and limits to the available evidence might enable more effective assessment and improvement of health-care quality.
临床上的差异通常被视为医疗服务质量不均的标志，并归因于提供者的自身利益。然而，患者偏好、医生的实践模式以及诊断和治疗的不确定性也会导致差异。更多地关注医患互动和现有证据的局限性，可能会使医疗质量的评估和改进更加有效。
Zotero 插件