Whiteley M S, Ray-Chaudhuri S B, Cornes J, Michaels J A, Galland R B
Department of Surgery, Royal Berkshire Hospital, Reading, UK.
Br J Surg. 1996 Oct;83(10):1364-6. doi: 10.1002/bjs.1800831011.
Prospective surveys of workload were carried out during 1989, 1990 and 1995. Analysis of outpatient referrals, inpatients and operations performed over periods of 3 months was undertaken and the changing patterns of general surgical and vascular surgical workload noted. The number of outpatient referrals rose throughout the study period because of a significant increase in the number of patients with both varicose veins and other vascular problems. There was an increase in the number of emergency admissions for vascular disease. The number of patients having general surgical operations fell; there was a corresponding increase in the number for arterial and venous disease. The general surgical component of a general surgical unit with a vascular interest is gradually declining, as increased numbers of patients with vascular problems are being referred and managed.
在1989年、1990年和1995年期间进行了工作量的前瞻性调查。对3个月期间的门诊转诊患者、住院患者及所实施的手术进行了分析，并记录了普通外科和血管外科工作量的变化模式。在整个研究期间，门诊转诊患者数量有所增加，原因是患有静脉曲张和其他血管问题的患者数量显著增加。血管疾病急诊入院人数有所增加。进行普通外科手术的患者数量减少；动脉和静脉疾病患者数量相应增加。随着越来越多患有血管问题的患者被转诊和接受治疗，设有血管外科的普通外科科室中普通外科部分的比例正在逐渐下降。
