Souza V L, Rosner F
Department of Medicine, Mount Sinai Services, Queens Hospital Center, Jamaica, NY 11432, USA.
J Gen Intern Med. 1997 May;12(5):315-7. doi: 10.1046/j.1525-1497.1997.012005315.x.
Despite the acknowledged value of autopsies, autopsy rates are low in American hospitals. We developed an extensive intervention to increase the autopsy rate on the medical service of our urban teaching hospital and to identify obstacles to obtaining permission for autopsy. The 6-month intervention increased the autopsy rate from 7.5% during the previous 2 years to 16.8%, but this effect disappeared after the intervention. Among patients for whom permission for autopsy was nor obtained, physicians failed to request permission for 31% and families refused permission for 69%.
尽管尸检具有公认的价值，但美国医院的尸检率却很低。我们开展了一项广泛的干预措施，以提高我们城市教学医院内科服务的尸检率，并找出获取尸检许可的障碍。为期6个月的干预措施使尸检率从前两年的7.5%提高到了16.8%，但干预结束后这种效果消失了。在未获得尸检许可的患者中，医生未提出申请的占31%，家属拒绝许可的占69%。
