Jennett B
Lancet. 1979 Mar 17;1(8116):594-7. doi: 10.1016/s0140-6736(79)91018-3.
The need for specialists cannot be adequately assessed on the basis of current practice and an estimated case-load (based on prevalence/population ratio). Specialists should declare which patients can or cannot be expected to benefit from their treatment, and they should consider the consequences of underprovision of specialist services. Specialists should also decide how much of what they normally do might equally well be carried out by generalists using the knowledge of specialists. Only then can the appropriate level of provision for various specialties be assessed, and effective deployment of the resources provided ensured.
基于当前的实践和估计的病例量（基于患病率/人口比率），无法充分评估对专科医生的需求。专科医生应声明哪些患者有望从其治疗中受益或无法受益，并应考虑专科服务供应不足的后果。专科医生还应决定，他们通常所做的工作中有多少可以由通科医生利用专科医生的知识同样出色地完成。只有这样，才能评估为各个专科提供的适当水平，并确保有效配置所提供的资源。
