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小型周边医院是否需要普通外科住院医师值班?

Is there a need for resident general surgical cover in small peripheral hospitals?

作者信息

Zia M K, Rajakumar V, Delicata R J, Shandall A A

机构信息

Department of Surgery, University Hospital of Wales, Cardiff, UK.

出版信息

Ann R Coll Surg Engl. 2004 Nov;86(6):455-6. doi: 10.1308/1478708041037.

DOI:10.1308/1478708041037
PMID:15527588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1964316/
Abstract

AIM

To assess the need for resident general surgical cover in a small peripheral hospital.

PATIENTS AND METHODS

The total number of admissions to Caerphilly District Miners' Hospital in the year 2001 was noted along with the admission criterion for elective general and vascular surgical patients.

RESULTS

Among the 10,608 in-patients only 120 (1.13%) developed general surgical/vascular problems that merited surgical referral and out of these 30 (0.28%) patients were transferred to neighbouring larger hospitals for specialist care.

CONCLUSIONS

A resident staff grade surgeon is not required in a small peripheral hospital and this service could be provided by the resident on-call surgical SpR in a neighbouring larger hospital.

摘要

目的

评估一家小型周边医院对普通外科住院医师值班服务的需求。

患者与方法

记录了2001年卡菲利地区矿工医院的总住院人数以及择期普通外科和血管外科患者的入院标准。

结果

在10608名住院患者中,仅有120名(1.13%)出现了值得手术转诊的普通外科/血管问题,其中30名(0.28%)患者被转至邻近的大型医院接受专科治疗。

结论

小型周边医院不需要有住院医师级别的外科医生,该服务可由邻近大型医院随叫随到的住院外科专科住院医师提供。

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