McCarthy M
Lancet. 1975 May 17;1(7916):1128-30. doi: 10.1016/s0140-6736(75)92513-1.
The medical care given to a population-based sample of children with leukaemia was reviewed between two to three years after diagnosis. Just over half the children had been treated at local hospitals, and the others referred to centres specialising in treatment of leukaemia. Local hospitals could be divided according to the therapeutic regimen used; the survival of children given optimal regimens at local hospitals was equivalent to that of two of the three special centres. Assessment of social, psychological, satisfaction or cost outcomes showed no difference between the groups. It is concluded that a regional policy for childhood leukaemia should be concerned to improve treatment regimens at local hospitals rather than attempt to concentrate care at a few centres.
在确诊后的两到三年间，对一组以人群为基础的白血病患儿的医疗护理情况进行了回顾。略超过半数的患儿在当地医院接受治疗，其余患儿则被转诊至白血病治疗专科中心。当地医院可根据所采用的治疗方案进行划分；在当地医院接受最佳治疗方案的患儿的生存率与三个专科中心中两个中心的患儿生存率相当。对社会、心理、满意度或成本结果的评估显示，两组之间没有差异。得出的结论是，儿童白血病的区域政策应关注改善当地医院的治疗方案，而不是试图将护理集中在少数几个中心。
