Cost effectiveness of minor surgery in general practice: a prospective comparison with hospital practice.

摘要: The cost effectiveness of general practitioners undertaking minor surgery in their practices was determined a prospective comparison patients having undertaken five over 12 week period 1989, and the departments dermatology Rotherham District General Hospital contemporaneous eight period. There were no differences between settings reported rates wound infection or other complications only one practice patient subsequently referred to hospital for specialist treatment. sent smaller proportion specimens histopathology laboratory than doctors (61% versus 90%, P less 0.001); incorrectly diagnosed larger malignant conditions as benign (10% 1%, 0.05) inadequately excised 5% lesions where this never happened (difference not significant). had shorter waiting times referral treatment, spent time money attending treatment more them satisfied with procedure hospital--pounds 33.53 pounds 45.54 excision lesion 3.00 3.22 cryotherapy wart (1989-90 prices). Performing would seem effective compared setting. However, risk excising malignancy sending it must be addressed conclusion regarding applies is substitute setting an additional activity.