回复：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 :)

对手术治疗有效性的临床试验有可能提高对麻醉和住院期间的护理的要求。在不久的将来，医疗服务的付费应该会越来越和有组织的疗效检查挂钩，而疗效则应由随机对照临床试验决定（例如：肺部缩小手术）。有些手术费用高但是疗效是很有争议的，如脑血管疾病的症状就不是很明显，急需客观的疗效检查。医疗服务以及医疗专家的意见有时会被一些反常规的利益激励因素驱使。麻醉师不仅对住院病人的护理提供专家意见，同时也在医疗组织中起到一个"诚实的协调人"的作用。

所有跟帖： 

• 谢lovchina即时精湛的翻译。 -紫君- ♀ (0 bytes) () 08/15/2010 postreply 08:13:56

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