Liberman Moishe, Mulder David S, Lavoie Andre, Sampalis John S
Department of Surgery, McGill University Health Center, Montreal, Quebec, Canada.
J Trauma. 2004 Jun;56(6):1330-5. doi: 10.1097/01.ta.0000071297.76727.8b.
The regionalization of trauma services has been implemented in many health care systems and communities over the past 10 to 20 years. As these trauma systems mature and evolve, changes are made to improve the care and efficiency of the system. Trauma care regionalization was introduced in Quebec in 1993. This study looked at the evolution of trauma care in Quebec over the past 13 years, from the preregionalization era to the present.
A retrospective review scientifically evaluated a trauma system, the implementation of evidence-based changes, and the efficacy of these changes.
Various changes have been made in the Quebec trauma system since the introduction of regionalization. These changes have led to an incremental decrease in mortality caused by severe trauma from 51.8% in 1992 to 8.6% in 2002.
A trauma system is fluid and constantly evolving. Research and constant reevaluation are necessary for continuous evaluation of the system and improvement of its outcomes and efficiency.
在过去10到20年里，许多医疗系统和社区都实施了创伤服务区域化。随着这些创伤系统的成熟和发展，人们进行了一些变革以提高系统的医疗服务质量和效率。1993年，魁北克引入了创伤护理区域化。本研究考察了魁北克在过去13年里从区域化之前到现在创伤护理的演变情况。
一项回顾性研究科学地评估了一个创伤系统、循证变革的实施情况以及这些变革的效果。
自引入区域化以来，魁北克创伤系统发生了诸多变化。这些变化使得严重创伤导致的死亡率从1992年的51.8%逐步降至2002年的8.6%。
创伤系统是动态的，且不断发展。持续评估该系统并改善其治疗效果和效率需要开展研究并不断重新评估。
