Rodney W M
Department of Family Medicine, University of California, Irvine, Orange.
Prim Care. 1988 Mar;15(1):79-91.
Procedural skills in flexible sigmoidoscopy and colonoscopy are widely accepted as diagnostic and therapeutic tools that assist physicians as they attempt to understand the biological and behavioral elements of undifferentiated gastrointestinal illness. Data support the ability of family physicians to perform and teach some of these endoscopic skills. Although one major contribution of these procedures is in the prevention of premature colorectal cancer mortality, other important patient care benefits are emerging for the office-based physician. Breadth of care enhances our most important therapeutic tool--the doctor/patient relationship. Unnecessary referral contributes to fragmentation and depersonalization of the health care system. Family physicians are urged to examine and acquire new procedural skills appropriate for their community. The process of privileges is discussed.
乙状结肠镜检查和结肠镜检查的操作技能被广泛认为是诊断和治疗工具，可在医生试图了解未分化胃肠道疾病的生物学和行为要素时提供帮助。数据支持家庭医生执行和教授其中一些内镜检查技能的能力。尽管这些检查的一个主要贡献在于预防结直肠癌过早死亡，但对于门诊医生来说，其他重要的患者护理益处也正在显现。广泛的护理可加强我们最重要的治疗工具——医患关系。不必要的转诊会导致医疗保健系统的碎片化和非人性化。敦促家庭医生检查并掌握适合其所在社区的新操作技能。文中还讨论了特权授予过程。
