Effect of panel composition on appropriateness ratings.
Effect of panel composition on appropriateness ratings.
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小组组成对适当性评级的影响。
DOI：
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发表时间：
1994
影响因子：
2.6
通讯作者：
R. H. Brook
中科院分区：
文献类型：
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作者：
Gerald M. Fraser;Dina Pilpel;J. Kosecoff;R. H. Brook
胆道镜检查是经常进行的，适应症相对较少。全外科专家组比混合专业专家组同意胆囊切除术的适应症更多，禁忌症更少，但没有批准合并症更高的患者的适应症。在混合面板亚专科医生（胃肠病学家）比全科医生和外科医生更保守。颈动脉内膜切除术也有类似的发现。比较英国和以色列小组的结果显示，评级适当性的差异表明各国之间的方法存在差异。我们的结论是，小组的组成将影响适当性的评估。
Cholecystectomy is performed frequently and for relatively few indications. An all surgical panel agreed on more indications and fewer contra-indications for cholecystectomy than a mixed specialty panel but did not approve indications for patients with higher comorbidity. In mixed panels subspecialists (gastroenterologists) were more conservative than generalists and surgeons. Similar findings have been shown for carotid endarterectomy. Comparing the results of British and Israeli panels showed variations in rating appropriateness that indicate differences in approach between countries. We conclude that the composition of panels will influence the assessment of appropriateness.