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首页> 外文期刊>BMJ: British medical journal >Let's keep it until the breast service is reconfigured
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Let's keep it until the breast service is reconfigured

机译：让我们保持直到乳房服务重新配置

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摘要

I am unsure whether examining a patient can ever be "bad medicine." Nonetheless, the tenor of the argument is correct. Times have changed: within the secondary tier, as Spence indicates, it is (or should be) unusual for patients with breast symptoms to be assessed without recourse to at least one imaging modality, usually ultrasound. The breast service has, understandably, and by default, become a primary tier service, and the system risks being overwhelmed as a result.The relationship with primary care needs redefining: either all women with breast symptoms should have access to the local breast service directly ora "triage tier" could be introduced as a cooperative arrangement between the two sectors. But even a triage tier would require com petency in the use of ultrasound, something that is not acquired overnight and is beset with medicolegal baggage.
机译：我不确定是否检查病人能是“不好”的药。论点是正确的。斯彭斯表示,二级层(或应该是)不寻常的乳腺癌患者症状是评估无追索权通常至少有一个成像模式,超声波。可以理解的是,乳房服务默认情况下,成为一个主要的层服务,系统风险被淹没。与初级保健的关系需要重新定义:不是所有的女性乳房症状应该访问本地乳房服务直接奥拉可以引入“分流层”两个部门之间的合作安排。但即使诊断层需要com petency在超声波的使用,不是东西收购了一夜之间和与法医学的困扰行李。

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