全科医生对尸检报告看法的调查。
A survey of general practitioners' views on autopsy reports.
作者信息
Karunaratne S, Benbow E W
机构信息
Department of Pathological Sciences, University of Manchester, UK.
出版信息
J Clin Pathol. 1997 Jul;50(7):548-52. doi: 10.1136/jcp.50.7.548.
AIMS
To study the views of general practitioners on the quality and utility of autopsy reports, and on autopsies in general.
METHODS
For a period of six months, a questionnaire was enclosed with each autopsy report sent to a general practitioner from the mortuary at Manchester Royal Infirmary.
RESULTS
Most (93.3%) general practitioners found the autopsy report useful, and many (66.7%) thought the bereaved relatives would do so too. However, only a minority (25.2%) would discuss the report with the relatives. A considerable proportion (20.0%) found the cause of death surprising, and a significant number (10.4%) felt the report would modify their future clinical practice. There was approval of autopsies in general, with most (88.6%) agreeing that autopsies reveal lesions not detected in life, and many (74.4%) indicating that loss of the autopsy would impair severely the monitoring of clinical standards.
CONCLUSIONS
General practitioners appreciate autopsy reports, which may have a significant impact on clinical practice. Autopsy reports provide both case audit and information for relatives.
目的
研究全科医生对尸检报告的质量、实用性以及对尸检总体看法。
方法
在六个月的时间里，曼彻斯特皇家医院太平间发给每位全科医生的每份尸检报告都附有一份调查问卷。
结果
大多数（93.3%）全科医生认为尸检报告有用，许多（66.7%）认为丧亲家属也会觉得有用。然而，只有少数（25.2%）会与家属讨论报告。相当一部分（20.0%）发现死因令人惊讶，相当数量（10.4%）觉得报告会改变他们未来的临床实践。总体上对尸检是认可的，大多数（88.6%）同意尸检能揭示生前未被发现的病变，许多（74.4%）表示没有尸检将严重损害对临床标准的监测。
结论
全科医生重视尸检报告，这可能对临床实践产生重大影响。尸检报告既提供病例审核又为家属提供信息。
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