英国的伤口护理:解决实践,成本,结果和数据缺陷的差异
Jackie Stephen-Haynes1, Louise C M Toner2
1Professor of Wound Healing & Tissue Repair, School of Nursing and Midwifery, Birmingham City University, Edgbaston, Birmingham.
概括
改善英国的伤口护理需要一个国家数据库来跟踪患者数量,愈合率和并发症. 这将有助于更好的质量保证,研究和资源配置,以实现公平,基于证据的患者结果.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 临床实践 临床实践
背景情况:
- 伤口护理是英国医疗保健系统的一个重大挑战,每年估计会使NHS损失83亿英.
- 创伤管理的临床实践在英国各地区,各专业和各个护理环境中都存在很大差异.
- 数以百万计的患者受到影响,慢性和无法愈合的伤口对经济产生重大影响.
研究的目的:
- 探索在伤口护理中不一致的临床实践的影响.
- 检查与慢性伤害相关的经济负担和患者不平等.
- 突出需要英国国家伤口护理数据库,以改善监测和研究.
主要方法:
- 文献综述和英国当前伤口护理实践的分析.
- 探索与伤口护理成本相关的经济数据.
- 评估数据碎片化对服务规划和患者结果的影响.
主要成果:
- 不一致的伤口护理实践导致了显著的区域差异和患者不平等.
- 英国没有伤口护理数据库,这阻碍了对患者数量,伤口类型和愈合率的系统监测.
- 缺乏协调的数据阻碍了研究,质量改善和有效的资源配置.
结论:
- 国家伤口护理数据库对于质量保证,基准测试和强有力的研究至关重要.
- 标准化途径,教育和英国范围的数据基础设施是改善的关键策略.
- 实施这些战略将支持更协调,基于证据,更具成本效益的伤口护理方法在整个英国.
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