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首页> 外文期刊>Scandinavian journal of primary health care. >Cooperation between Hospital and General Practice in Multipractice Studies Personal Experiences from a Study on Early Diagnosis for Gastric Cancer
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Cooperation between Hospital and General Practice in Multipractice Studies Personal Experiences from a Study on Early Diagnosis for Gastric Cancer

机译：胃癌早期诊断研究中医院与普通科在多学科研究中的个人经验的合作

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In this study close cooperation between general practice and out patient clinic made it possible to establish earlier diagnosis of serious disease using advanced diagnostic methods on patients seen only in general practice. However, the cooperation established in an attempt to diagnose gastric cancer at an early stage using endoscopic technique revealed major practical problems. It was difficult to make exact calculations of the background population because of the degree of the patients' right to choose a general practitioner. Furthermore, referral of all patients wanted for investigation proved a major obstacle, because of differences in workload and lack of understanding of scientific principles among the participating general practitioners. The desired cooperation between general practice and out patient clinics cannot easily be established in a way which gives us exact and scientifically reliable data, and such cooperation—for scientific purposes—can only involve smaller groups of doctors. However, the education of general practitioners in scientific methods and understanding, and hospital doctors in knowledge about the consequences of working conditions in general practice should be considerably inmproved.
机译：在这项研究中，全科医师与门诊患者诊所之间的密切合作使得可以使用高级诊断方法对仅在全科医师中看到的患者进行早期严重疾病诊断。然而，为利用内窥镜技术早期诊断胃癌而建立的合作揭示了主要的实际问题。由于患者选择全科医生的权利程度，很难对背景人口进行准确的计算。此外，由于参与工作的全科医生之间的工作量差异和对科学原理的理解不足，所有想要调查的患者都被转诊为主要障碍。普通医生和门诊病人之间所需的合作很难以给我们提供准确且科学可靠的数据的方式建立，并且出于科学目的，这种合作只能涉及较小的医生群体。但是，应该大大改善对全科医生的科学方法和理解的教育，以及对医生对普通工作条件后果的认识的教育。

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