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首页> 外文期刊>Seminars in cutaneous medicine and surgery. >The pitfalls of regulating office-based surgery by state legislatures and boards of medical examiners.
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The pitfalls of regulating office-based surgery by state legislatures and boards of medical examiners.

机译：由州立法机关和体检医师委员会管理以办公室为基础的手术的陷阱。

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Many surgical specialties currently provide their patients with cost-effective surgical procedures that are performed safely in an office-based setting. However, the growing number of procedures performed in this setting has lead many state legislatures and boards of medical examiners to the belief that these procedures must somehow be regulated to ensure patient safety. The first pitfall is demonstrating that a problem with safety exists, in spite of the fact that numerous published, peer-reviewed articles have proven that there is no problem. While it is relatively easy to develop a set of criteria to meet in order to certify a facility in which office surgery is to be performed, it is exceedingly difficult to determine similar criteria or scope of practice definitions that can be used fairly and accurately to determine which physicians are qualified to use those facilities. The use of hospital privileges, board certification, transfer agreements or extramural certification of facilities all have been recommended at one time or another as methods to determine physician qualifications, but no single standard has been developed that accurately reflects a fair and impartial method of determine physician qualifications.
机译：当前，许多外科专科为患者提供具有成本效益的外科手术程序，这些程序可在基于办公室的环境中安全地进行。但是，在这种情况下执行的程序数量不断增加，导致许多州立法机关和体检医师委员会相信，必须以某种方式对这些程序进行监管，以确保患者安全。第一个陷阱是，尽管存在许多已发表，经过同行评审的文章证明没有问题，但存在安全问题。虽然为证明要进行办公室手术的设施而制定一套标准要相对容易，但是要确定可以公平，准确地用于确定的类似标准或业务定义范围却极其困难。哪些医师有资格使用这些设施。曾经一次或多次建议使用医院特权，董事会认证，转移协议或院外壁画认证作为确定医师资格的方法，但尚未开发出能够准确反映确定医师公平公正方法的单一标准。资格。

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