Fowkes F G, Page S M, Phillips-Miles D
Br J Surg. 1983 Feb;70(2):114-6. doi: 10.1002/bjs.1800700220.
The availability and use of surgical manpower and beds and certain measures of surgical workload were examined in the NHS in England and Wales from 1967 to 1977 using routine health statistics. Amongst the surgical specialties, there was no consistent relationship between changes in levels of manpower and beds and operating output. For example, ENT surgery and cardiothoracic surgery had more staff and fewer beds in 1977 than in 1967, but operating output in ENT surgery decreased by 18 per cent and in cardiothoracic surgery increased by 28 per cent. Although the efficiency of bed use may have improved (average length of stay was 10.5 days in 1967 and 8.8 days in 1977), the overall use of available beds in most specialties may have decreased. The number of operations performed in each specialty per consultant surgeon was less in 1977 than 1967 except for traumatic and orthopaedic surgery. Although interpretations of routine health statistics are rarely conclusive, the results of this study suggest the possibility of a less than optimum use in 1977 compared to 1967 of surgical beds and surgeons' operating potential which might be due to lack of other resources such as usable theatre time.
利用常规健康统计数据，对1967年至1977年期间英格兰和威尔士国民医疗服务体系（NHS）中的外科人力、床位供应及使用情况以及某些外科工作量指标进行了研究。在各个外科专业中，人力和床位水平的变化与手术量之间不存在一致的关系。例如，1977年耳鼻喉科手术和心胸外科手术的工作人员比1967年更多，但床位更少，然而耳鼻喉科手术量下降了18%，而心胸外科手术量增加了28%。尽管床位使用效率可能有所提高（1967年平均住院天数为10.5天，1977年为8.8天），但大多数专业中可用床位的总体使用量可能有所下降。1977年，除创伤与矫形外科外，每位顾问外科医生在各专业中进行的手术数量均少于1967年。尽管对常规健康统计数据的解读很少能得出确凿结论，但本研究结果表明，与1967年相比，1977年外科床位和外科医生手术潜力的利用可能未达到最佳状态，这可能是由于缺乏其他资源，如可用的手术时间。
