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领域问题:我们如何解决这些问题并优化干预措施的患者选择,最终优化患者护理?

Turf issues: how do we resolve them and optimize patient selection for intervention and ultimately patient care?

作者信息

Veith F J

机构信息

Division of Vascular Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.

出版信息

J Vasc Surg. 1998 Aug;28(2):370-2. doi: 10.1016/s0741-5214(98)70178-8.

DOI:10.1016/s0741-5214(98)70178-8
PMID:9719338
Abstract

Turf issues exist largely because of emerging endovascular technologies. Vascular surgeons must develop skills with catheters, guidewires, and imaging techniques. Turf battles will result from unrestrained competition. Center/partnerships between vascular surgeons and interventional radiologists will minimize these turf battles and facilitate cross-training, which will improve the functioning of both specialists. These center/partnerships will, therefore, provide the best, most cost-effective care. Finally, all specialists who are interested in vascular disease must recognize the dangers of overproduction of competing specialists. More importantly, their leaders and specialty societies must make a serious effort to deal with this problem fairly.

摘要

领域问题在很大程度上是由于新兴的血管内技术而存在。血管外科医生必须培养使用导管、导丝和成像技术的技能。无节制的竞争将导致领域之争。血管外科医生和介入放射科医生之间的中心/合作关系将使这些领域之争降至最低,并促进交叉培训,这将改善两位专科医生的工作。因此,这些中心/合作关系将提供最佳、最具成本效益的护理。最后,所有对血管疾病感兴趣的专科医生都必须认识到竞争专科医生过度产生的危险。更重要的是,他们的领导人和专业协会必须认真努力公平地处理这个问题。

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