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【美国初级保健医生误诊率达20%】李永明博士 纽约中医论坛

纽约TCM论坛2018-03-12 07:23:32

【纽约中医论坛首发】


据2017年4月4日发表在临床实践评估杂志的一个报告揭示,致少有20%的患者到上级专业医院会诊时发现,他们的初级保健医生(Primary care physician, PCP)给出的诊断是完全错误的。研究还发现,有66%PCP的诊断需要被专家更正或精准化,只有34%的初级诊断不需要修改。


这个报告结果听起来有点“恐怖”,但实际情况可能没有那么糟糕。因为大部分美国PCP(家庭医生、内科医生等)受过标准的专业训练和继续教育,“误诊”不等于误治,“误治”也不一定造成伤害。按照法律的“误医”(malpractice)定义,只有误诊误治造成伤害时,医生才有法律责任。所以,患者告医生并能获得赔偿是极少数。 (李永明)


【下面是报导原文】


More Than 20 Percent Of Patients May Be Misdiagnosed By PCPs, Study Suggests
The Washington Post (4/4, Bernstein) reports that research published in the Journal of Evaluation in Clinical Practice indicated “more than 20 percent of patients who sought a second opinion at one of the nation’s premier medical institutions had been misdiagnosed by their primary care providers.”


The San Diego Union-Tribune (4/4, Fikes) reports that investigators found that “in 21 percent of cases, Mayo Clinic” physicians “gave a completely different diagnosis than the original.” The study indicated that “the diagnosis was refined or extended in 66 percent of cases.” Meanwhile, “in the remainder, the diagnosis was unaltered.”


《纽约中医论坛首发--纽约博客》