Grundfast K M
Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Hospital, Washington, DC.
Arch Otolaryngol Head Neck Surg. 1994 Aug;120(8):797-8. doi: 10.1001/archotol.1994.01880320009002.
In these times of increasing dominance of managed care and diminishing autonomy for practitioners of medicine, any government pronouncement can be viewed as yet another of many annoyances. For otolaryngologists who yearn for the days when there were not so many intermediaries involved in patient care, the newly issued Clinical Practice Guideline, Otitis Media with Effusion in Young Children (see reference 2 for highlights) may seem more of an ominous threat than anything remotely beneficial. However, given the inexorable changes that are occurring, the Agency for Health Care Policy and Research (AHCPR) otitis media guideline is probably going to be more helpful than harmful.
在当今管理式医疗日益占据主导地位、医生自主权不断减少的时代，政府的任何声明都可能被视为众多烦心事之一。对于那些怀念过去患者护理过程中没有这么多中间环节的耳鼻喉科医生来说，新发布的《幼儿中耳积液临床实践指南》（要点见参考文献2）可能看起来与其说是有任何 remotely beneficial的东西，不如说是一种不祥的威胁。然而，鉴于正在发生的不可阻挡的变化，医疗保健政策与研究机构（AHCPR）的中耳炎指南可能利大于弊。
