在整形外科手术中不必要的护理
1Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
ANZ journal of surgery
|July 25, 2024
概括
不必要的骨科手术,伤害超过益处,是常见的,导致患者伤害和成本增加. 解决这一问题需要更好的证据和针对高价值护理的激励措施.
科学领域:
- 医学 医学 医学 医学 医学
- 整形外科手术 整形外科手术
- 卫生政策 卫生政策
背景情况:
- 不必要的医疗护理,定义为潜在危害超过潜在益处的护理,是普遍存在的.
- 整形外科手术是这一问题显现的重要领域,影响了患者安全和医疗保健支出.
- 在整形外科手术实践中存在地理差异,往往无法通过患者人群差异来解释.
研究的目的:
- 审查骨科手术中不必要的护理问题.
- 确定导致该专业不必要干预的因素.
- 讨论对患者安全和医疗保健支出的影响.
主要方法:
- 这项研究采用了叙事审查方法.
- 它综合了关于骨科手术中不必要的护理的现有文献.
- 审查考虑了证据差距,实践变化以及认知和系统因素.
主要成果:
- 许多骨科干预缺乏支持其使用的强有力的,低偏见的证据.
- 导致不必要护理的因素包括证据差距,证据与实践的差距,认知偏见和卫生系统的影响.
- 与不必要的骨科手术相关的经济负担和患者发病率可能是相当大的.
结论:
- 在整形外科手术中不必要的护理对患者构成风险,并造成重大成本.
- 解决方案包括提高认识,将财务激励措施与高价值护理相协调,并倡导严格的证据.
- 解决这个问题对于改善患者的结果和医疗保健的可持续性至关重要.
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