Fraser G M, Pilpel D, Kosecoff J, Brook R H
Department of Gastroenterolgy, Faculty of Health Sciences, Ben Gurion University, Soroka Medical Center, Beer-Sheva, Israel.
Int J Qual Health Care. 1994 Sep;6(3):251-5. doi: 10.1093/intqhc/6.3.251.
Cholecystectomy is performed frequently and for relatively few indications. An all surgical panel agreed on more indications and fewer contra-indications for cholecystectomy than a mixed specialty panel but did not approve indications for patients with higher comorbidity. In mixed panels subspecialists (gastroenterologists) were more conservative than generalists and surgeons. Similar findings have been shown for carotid endarterectomy. Comparing the results of British and Israeli panels showed variations in rating appropriateness that indicate differences in approach between countries. We conclude that the composition of panels will influence the assessment of appropriateness.
胆囊切除术实施频繁且适应证相对较少。与一个混合专业小组相比，一个全外科专家小组认同更多的胆囊切除术适应证和更少的禁忌证，但不认可合并症较高患者的适应证。在混合小组中，亚专科医生（胃肠病学家）比全科医生和外科医生更保守。颈动脉内膜切除术也有类似的发现。比较英国和以色列小组的结果显示，在评定适宜性方面存在差异，这表明不同国家之间的方法存在差异。我们得出结论，小组的组成会影响对适宜性的评估。
