Johnson R
Postgraduate Health Sciences Centre, Manchester.
BMJ. 1994 Jul 9;309(6947):98-102. doi: 10.1136/bmj.309.6947.98.
Medical audit has its critics, who point to the large sums of NHS cash that seem to be disappearing down a medical plughole. These criticisms are recognised by medical audit advisory groups but there are many reasons why the work of these groups has not yet resulted in many publications in journals or bumped up health indicators. After discussing the criticism this article describes the work of the medical audit advisory group in Manchester. Real changes in cooperative working with general practice teams and between practices are taking place, and improved relationships between general practice and the hospitals are being helped by joint audit work. The Manchester group is also working to help in setting standards and to cooperate with purchasing. The work of the group is changing as it develops.
医学审计也受到一些批评者的质疑，他们指出国民保健制度（NHS）投入的大量资金似乎都消失在了医疗这个无底洞中。这些批评意见已被医学审计咨询小组所认可，但该小组的工作尚未在期刊上发表大量文章或提升健康指标，原因有很多。在讨论完这些批评意见后，本文将介绍曼彻斯特医学审计咨询小组的工作。与全科医疗团队以及不同诊所之间的合作方式正在发生切实的变化，联合审计工作也有助于改善全科医疗与医院之间的关系。曼彻斯特小组还致力于协助制定标准并与采购部门合作。随着自身的发展，该小组的工作也在不断变化。
