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心脏病学实践中合理使用标准的两种观点:有利且有用还是受限且有害?

Two Perspectives of the Appropriate Use Criteria in Cardiology Practice: Advantageous and Useful or Limiting and Harmful?

作者信息

Krishnan Sandeep K, Bahia Amit, Brindis Ralph G, Lepor Norman E, Itchhaporia Dipti, Patel Pranav M

机构信息

Cedars-Sinai Heart Institute, Los Angeles CA.

University of California, Irvine, CA.

出版信息

Rev Cardiovasc Med. 2017;18(2):73-77. doi: 10.3909/ricm0884.

DOI:10.3909/ricm0884
PMID:29038415
Abstract

The appropriate use criteria (AUC) has become an integral part of the cardiologist's daily practice and have evolved greatly since their inception over a decade ago. However, as health care costs continue to rise, the AUC has come to play an even more pivotal role in the way medicine-specifically cardiology-is practiced today. This editorial describes two opposing viewpoints commonly held by practicing clinicians of the AUC. Written from the perspective of two fellows-in-training looking ahead at the challenges and opportunities of clinical practice (under the auspices of several experienced clinicians and leaders of the American College of Cardiology), this article provides a fresh perspective on the impact AUC has on our patients, clinicians, and the health care system.

摘要

适当使用标准(AUC)已成为心脏病专家日常实践中不可或缺的一部分,自十多年前创立以来已发生了很大演变。然而,随着医疗保健成本持续上升,AUC在当今医学(特别是心脏病学)的实践方式中发挥着更为关键的作用。这篇社论描述了临床执业医师对AUC通常持有的两种对立观点。本文由两名住院医师撰写,展望临床实践的挑战与机遇(在美国心脏病学会几位经验丰富的临床医生和领导者的支持下),提供了关于AUC对我们的患者、临床医生和医疗保健系统所产生影响的全新视角。

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