分鼻整形手术的变化:爱尔兰的经验
Rory J O'Neill1,2, S A Abdulrahman3
1Department of Otorhinolaryngology, Tallaght University Hospital, Dublin, Ireland. oneillrjj@gmail.com.
概括
爱尔兰的分鼻整形手术 (SR) 程序显著下降,转向门诊护理和更短的住院时间. 这些变化反映了对医疗保健系统压力的适应.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科 整形外科 整形外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 鼻分管整形 (SR) 是一种复杂的选择性手术,影响患者的生活质量.
- 单一付费者系统面临着急性和瘤需求带来的能力挑战,这可能会影响选择性手术.
- 了解SR的国家趋势对于医疗保健规划至关重要.
研究的目的:
- 审查爱尔兰的分鼻整形 (SR) 实践的国家趋势.
- 在单一付款者系统中为未来的医疗保健规划提供信息.
- 分析医疗保健压力对选择性外科手术程序的影响.
主要方法:
- 2005-2021年爱尔兰1952例SR病例的纵向,基于人口的横截面研究.
- 时间序列分析使用线性回归来评估操作类型,修订率和停留时间的趋势.
- 分析COVID-19大流行影响和国家外科手术指南.
主要成果:
- 年平均SR病例减少了31% (实际情况) 和43% (相对情况).
- 门诊SR显著增加,占所有进行的病例的55%.
- 平均住院时间减少了44%.
结论:
- 在爱尔兰的公共医疗保健系统中,鼻管切除术面临着挑战.
- 门诊手术的增加和减少住院时间表明了对医疗保健压力的适应性反应.
- 这些实践变化表明积极适应全系统约束.
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