Watters G W, Milford C A
Department of Otolaryngology, Radcliffe Infirmary, Oxford, UK.
Clin Otolaryngol Allied Sci. 1993 Oct;18(5):372-4. doi: 10.1111/j.1365-2273.1993.tb00595.x.
The effect of consultant supervision on management of patients by junior staff was assessed. Supervision was exercised by pre-reading the notes with the consultant at the start of the clinic. The principle finding was that less patients were brought back for another appointment. For new patients, the proportion fell from 40% to 19%, and for follow-up patients it fell from 49.5% to 29%. The overall rate fell from 46% to 23.5%. This has major implications with respect to use of resources and, in the unit studied, this change would make available 38 extra clinic appointments for each registrar per month. The study also raises issues regarding the use of out-patient clinics for post-graduate training and consultant supervision of patient management in general.
评估了顾问监督对初级员工管理患者的影响。监督方式是在门诊开始时由顾问预读病历。主要发现是被召回再次预约的患者减少了。对于新患者，这一比例从40%降至19%，对于随访患者，从49.5%降至29%。总体比例从46%降至23.5%。这对资源利用有重大影响，在所研究的科室，这一变化将使每位住院医生每月多出38个门诊预约。该研究还引发了关于利用门诊进行研究生培训以及一般情况下顾问对患者管理的监督等问题。
