回複：求英翻中

An area of potentially increasing contribution of anesthesia and perioperative care is in the realization of clinical trials for efficacy of surgical therapy. It is not unreasonable to assume that reimbursement for delivery of clinical care in the future may be increasingly tied to participation in some form of organized assessment of efficacy, such as a randomized controlled trial （e.g., the case of lung reduction surgery）.32 Such considerations are especially pertinent for procedures that are highly reimbursed, but controversial in terms of efficacy, as in the case of minimally symptomatic cerebrovascular diseases.30,33 Perverse incentives can drive clinical practice and influence expert opinion. In addition to insights into the delivery of perioperative medical care, anes-thesiologists can help provide an “honest broker” function in such settings.

>> It is too short to understand fully, hope this helps :)

對手術治療有效性的臨床試驗有可能提高對麻醉和住院期間的護理的要求。在不久的將來，醫療服務的付費應該會越來越和有組織的療效檢查掛鉤，而療效則應由隨機對照臨床試驗決定（例如：肺部縮小手術）。有些手術費用高但是療效是很有爭議的，如腦血管疾病的症狀就不是很明顯，急需客觀的療效檢查。醫療服務以及醫療專家的意見有時會被一些反常規的利益激勵因素驅使。麻醉師不僅對住院病人的護理提供專家意見，同時也在醫療組織中起到一個"誠實的協調人"的作用。

所有跟帖： 

• 謝lovchina即時精湛的翻譯。 -紫君- ♀ (0 bytes) () 08/15/2010 postreply 08:13:56

• Iovchina, 謝謝謝! -Question-2- ♂ (21 bytes) () 08/15/2010 postreply 08:35:39