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可疑癌症的转诊延迟不应归结于医生较差的专业表现,而应探索其他可能原因及改进策略。癌症的及时确诊是大众媒体的一个常见主题,也是提高生活质量倡议中越来越普遍的话题之一~(1,2)。英国卫生部长提议在英国国家健康服务体系(NHs)选择网站一卜对全科医师进行排名,并将可疑癌症患者(这些患者随后确诊为癌症)转诊给肿瘤专家的速度作为排名标准~3。但该政策有据可循吗?其主要假设是这些患者在转诊前的多次初级医疗咨询主要反
The referral delay of suspicious cancers should not be attributed to the poor professional performance of physicians, but should explore other possible causes and strategies for improvement. The timely diagnosis of cancer is a common theme in the mass media and one of the more and more common topics in initiatives to improve quality of life (1,2). The UK Minister of Health proposed to rank GPs on the NHs website and rank the referral rate of suspected cancer patients, who subsequently became diagnosed with cancer, to cancer specialists. However, is there any evidence for this policy? The main assumption is that these patients have mainly primary medical consultations before referral