Rutkow I M
Arch Surg. 1981 Jul;116(7):963-9. doi: 10.1001/archsurg.1981.01380190087021.
In the past, a surgeon's primary interest concerned the art and science of surgery. Socioeconomic issues affecting surgical practice were only of minor importance. Consequently, little of the overall research into the delivery system of surgical health care has been conducted by the surgeon. In addition, since many of these investigations are ultimately published in journals not read by the surgeon it has been difficult if not impossible for the active practitioner to be aware of current thoughts and changing concepts in surgical health-services research. In this report, I discuss the major articles that have begun to analyze issues in this growing and important discipline. It is hoped that such a review will stimulate surgeons to begun taking a more active role in the formulation and conduct of future work into surgical health care delivery.
过去，外科医生主要关注外科手术的艺术与科学。影响外科手术实践的社会经济问题仅具有次要重要性。因此，外科医生对外科医疗保健提供系统的整体研究做得很少。此外，由于许多此类研究最终发表在外科医生不阅读的期刊上，活跃的从业者即便并非不可能，也很难了解外科医疗服务研究中的当前思想和不断变化的概念。在本报告中，我讨论了一些已开始分析这一不断发展且重要学科中的问题的主要文章。希望这样的综述能促使外科医生在未来外科医疗保健提供的工作制定和开展中发挥更积极的作用。
