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医院创伤中心的国家库存
Ellen J MacKenzie1, David B Hoyt, John C Sacra
1Johns Hopkins Bloomberg School of Public Health, Center for Injury Research and Policy, Baltimore, Md 21205, USA. emackenz@jhsph.edu
JAMA
|April 4, 2003
概括
到2002年,美国的创伤中心数量增加了一倍多,达到1154家,但覆盖和分发方面的巨大差距仍然存在. 需要进一步努力,以优化创伤中心的可用性,特别是在国土安全方面.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 创伤中心对于治疗受伤患者和应对大规模伤亡事件至关重要.
- 上一次关于美国创伤中心的综合数据是1991年,确定了471个中心.
研究的目的:
- 确定目前在美国的创伤中心的数量和分布.
- 确定创伤护理覆盖范围中存在的任何缺口.
主要方法:
- 通过采访创伤中心主任 (2001-2002) 和国家数据库 (美国医院协会,卫生资源和服务管理局) 收集的数据.
- 创伤中心的特点根据护理水平进行分析,并与非创伤中心进行比较.
- 排除仅为儿科的创伤中心 (n=31).
主要成果:
- 2002年,美国有1154个创伤中心,比1991年大幅增加.
- 创伤中心的分布因州而异,有些州有广泛的指定,而另一些州仅限于一级和二级中心.
- 创伤中心通常较大,更有可能是教学医院,并提供比非创伤中心更专业的服务.
结论:
- 虽然创伤中心的数量有所增加,但在确保最佳分布和配置方面仍然存在挑战.
- 应对这些挑战至关重要,特别是在医院准备和国家安全的重点上.
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