从2000年起,我的大部分工作时间是在社区医院从事疑难病例会诊,培训基层医务人员,规范社区医院诊疗制度及社区医师诊疗行为。通过10余年的实践,我发现基层医务人员在诊治疾病过程中存在一些不规范现象,尽管现在有各种经过循证医学验证的《疾病诊治指南》(以下简称《指南》),但是许多医生不仅没有认真学习,在诊治疾病过程中也没有严格遵循《指南》操作。 Since 2000, most of my working time has been to engage in difficult case consultation in community hospitals, to train primary health care workers, and to standardize community hospital treatment and community consultation procedures. Through more than 10 years of practice, I have found that there are some irregularities in the treatment and treatment of diseases by primary medical staff. Although there are various “Guide to Diagnosis and Treatment of Diseases” (hereinafter referred to as the “Guidelines”) which are verified by evidence-based medicine, many doctors not only Did not seriously study, in the process of diagnosis and treatment of disease nor strictly follow the “guide” operation.