1990年和1991年全科医生进行的小型手术质量
Quality of minor surgery by general practitioners in 1990 and 1991.
作者信息
Lowy A, Brazier J, Fall M, Thomas K, Jones N, Williams B T
机构信息
Department of Public Health Medicine, University of Sheffield.
出版信息
Br J Gen Pract. 1994 Aug;44(385):364-5.
BACKGROUND
The 1990 contract for general practitioners encouraged them to undertake minor surgical procedures in their practices.
AIM
A study was undertaken to determine whether the subsequent expansion of general practitioner minor surgery activity was accompanied by changes in quality of care.
METHOD
Data were analysed relating to minor operations conducted in 22 practices during April-June 1990 and April-June 1991.
RESULTS
The volume of general practitioner minor surgery increased by 41% between the two study periods. Waiting time, accuracy of diagnosis, use of histology, adequacy of excision, complications and the need for corrective treatment in hospital did not change significantly between the two periods.
CONCLUSION
The findings do not support suggestions that the expansion of general practitioner minor surgery activity following the 1990 contract has been associated with an erosion of quality of care.
背景
1990年与全科医生签订的合同鼓励他们在其诊所开展小型外科手术。
目的
进行一项研究以确定随后全科医生小型手术活动的扩大是否伴随着护理质量的变化。
方法
分析了1990年4月至6月以及1991年4月至6月期间在22家诊所进行的小型手术的数据。
结果
在两个研究期间，全科医生小型手术的数量增加了41%。两个时期之间的等待时间、诊断准确性、组织学检查的使用、切除的充分性、并发症以及住院进行矫正治疗的需求均无显著变化。
结论
研究结果不支持以下观点，即1990年合同签订后全科医生小型手术活动的扩大与护理质量的下降有关。
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