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减轻神经外科等候名单的负担:这是一个徒劳的努力吗?

Nithish Jayakumar¹, Alvaro Rojas Villabona¹, Damian Holliman¹

¹Department of Neurosurgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK.

British journal of neurosurgery

|October 9, 2023

概括

随着COVID-19的流行,神经外科等候名单显著增加,尤其是脊柱手术等候名单. 按照目前的速度,预计需要24个月才能将目前的积压清除到疫情前的水平,这需要增加剧院容量.

科学领域:

神经外科神经外科
医疗保健管理的管理
公共卫生公共卫生

背景情况:

在COVID-19大流行期间,选择性手术取消导致了大量的患者等候名单.
神经外科治疗,特别是脊柱疾病,经历了不成比例的延迟.
该研究探讨了这些延迟对患者获得护理的影响.

研究的目的:

量化特定机构的神经外科等候名单负担.
预测所需的时间和手术室容量,以恢复到疫情前的等待列表水平.
分析大流行后神经外科等候名单的趋势.

主要方法:

从2015年1月到2022年10月的骨和脊柱等候名单记录的回顾性分析.
计算平均每月等候名单减少的流行病后发病率.
五种场景的建模,以估计积压减少时间表.

主要成果:

神经外科等待名单从大流行前的平均673人翻了一番,到2021年12月的1388名患者的峰值.
在2021年12月至2022年10月期间,等待名单平均每月减少18名患者.
按照目前的速度,预计在2024年10月 (24个月) 之前,积压将被清除;七天的服务可以将其减少到18个月.

结论:

持续存在的挑战,包括与流行病相关的和NHS范围内的问题,阻碍了积压减少.
手术中心可能会带来风险,因为它可能会降低基本医院的选修能力.
需要制定战略,有效管理和减少日益增长的神经外科等待名单.

关键词:

在 COVID-19 疫情中,选择性的外科手术程序神经外科神经外科有等候名单.

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