Dias J J, Burke F D, Lunn P G, Bradley M J
Hand Unit, Derbyshire Royal Infirmary, Derby.
Ann R Coll Surg Engl. 1992 May;74(3):162-5.
To estimate the overt need for hand surgery in an average sized district general hospital and to assess the resources required to meet this need, data were collected prospectively on all new trauma and elective patients presenting from 1 June to 30 November 1989 to the Derby Hand Unit, Derbyshire Royal Infirmary, Derby. In all, 1740 new patients with hand disorders (1082 trauma and 658 elective) were seen. All were followed up for 6 months or until discharge. Based on the Derby Hand Unit practice, the overt need for hand surgery in an average sized district general hospital was estimated and the resources required to satisfy this need were defined. Such a hospital serving a population of 250,000 should expect about 23 new trauma patients and 17 new elective patients each week. To service this demand requires between three and six outpatient clinics, between three and eight inpatient beds and three operating sessions each week. The net annual cost of such a service in 1989-1990 would be 318,753 pounds.
为了估算一家中等规模的地区综合医院对手外科手术的显性需求，并评估满足这一需求所需的资源，我们前瞻性地收集了1989年6月1日至11月30日期间前往德比皇家医院德比手外科就诊的所有新创伤患者和择期手术患者的数据。总共诊治了1740例手部疾病新患者（1082例创伤患者和658例择期手术患者）。所有患者均随访6个月或直至出院。根据德比手外科的诊疗实践，估算了一家中等规模地区综合医院对手外科手术的显性需求，并确定了满足这一需求所需的资源。这样一家服务于25万人口的医院，预计每周约有23例新创伤患者和17例新择期手术患者。为满足这一需求，每周需要三到六个门诊诊所、三到八张住院病床以及三台手术。1989 - 1990年，这样一项服务的年度净成本将为318,753英镑。
