Cargill V, Cohen D, Kroenke K, Neuhauser D
Health Serv Res. 1986 Dec;21(5):663-78.
Hospitals often have rotational assignment of patients to one of several similar provider care teams. The research potential of these arrangements has gone unnoticed. By changing to random assignment of patients and physicians to provider care teams (firms) this kind of organization can be used for sequential, randomized clinical trials which are ethical and efficient. The paper describes such arrangements at three different hospitals: Cleveland Metropolitan General Hospital, Brooke Army Medical Center, and University Hospitals of Cleveland. Associated methodologic issues are discussed. This is a new, more widely applicable method for medical care research.
医院常常将患者轮流分配到几个类似的医疗服务团队中的一个。这些安排的研究潜力一直未被关注。通过将患者和医生随机分配到医疗服务团队（公司），这种组织形式可用于进行符合伦理且高效的序贯随机临床试验。本文描述了克利夫兰市立综合医院、布鲁克陆军医疗中心和克利夫兰大学医院这三家不同医院的此类安排。文中还讨论了相关的方法学问题。这是一种新的、更广泛适用的医疗研究方法。
