Gabbay J, Francis L
Oxford Regional Health, Authority.
BMJ. 1988 Nov 12;297(6658):1249-52. doi: 10.1136/bmj.297.6658.1249.
A list was compiled of 83 of the commonest operations, which according to published reports may be performed on day patients but which in our district were usually performed on inpatients. The results of a national Delphi study among anaesthetists and general surgeons who were known to be in favour of day surgery produced estimates of the probable rates of day surgery for each of those operations under ideal conditions. Comparison of these figures with those from a Delphi study carried out in one district and with figures for day surgery carried out in that district and with waiting list figures enabled two health districts to focus their efforts to increase day surgery. The figures from the national Delphi study could be applied in other districts if the following are taken into account: Hospital Activity Analysis data must be validated; though there was consensus among the national Delphi consultants, personal clinical opinions varied; the case load may grow as waiting lists decrease.
列出了83种最常见的手术，根据已发表的报告，这些手术可以在日间手术患者身上进行，但在我们地区通常是在住院患者身上进行。在已知支持日间手术的麻醉师和普通外科医生中进行了一项全国性德尔菲研究，得出了在理想条件下每种手术的日间手术可能发生率的估计值。将这些数字与在一个地区进行的德尔菲研究所得出的数字、该地区的日间手术数字以及等候名单数字进行比较，使两个卫生区能够集中精力增加日间手术。如果考虑到以下因素，全国性德尔菲研究得出的数字可应用于其他地区：医院活动分析数据必须经过验证；尽管全国德尔菲研究顾问之间达成了共识，但个人临床意见各不相同；随着等候名单的减少，病例数量可能会增加。
