Paice Rhondda
Trauma Services, Auckland City Hospital, Auckland, New Zealand.
J Trauma Nurs. 2007 Oct-Dec;14(4):211-3. doi: 10.1097/01.jtn.0000318926.13498.a8.
Patterns of trauma and trauma systems in New Zealand are similar to those in Australia. Both countries have geographical considerations, terrain and distance, that can cause delay to definitive care. There are only 7 hospitals in New Zealand that currently manage major trauma patients, and consequently, trauma patients are often hospitalized some distance from their homes. The prehospital services are provided by one major provider throughout the country, with a high level of volunteers providing these services in the rural areas. New Zealand has a national no-fault accident insurance system, the Accident Compensation Corporation, which funds all trauma-related healthcare from the roadside to rehabilitation. This insurance system provides 24-hour no-fault personal injury insurance coverage. The Accident Compensation Corporation provides bulk funding to hospitals for resources to manage the care of trauma patients. Case managers are assigned for major trauma patients. This national system also has a rehabilitation focus. The actual funds are managed by the hospitals, and this allows hospital staff to provide optimum care for trauma patients. New Zealand works closely with Australia in the development of a national trauma registry, research, and education in trauma care for patients in Australasia (the islands of the southern Pacific Ocean, including Australia, New Zealand, and New Guinea).
新西兰的创伤模式和创伤系统与澳大利亚相似。两国都存在地理因素、地形和距离问题，这可能导致确定性治疗的延迟。新西兰目前只有7家医院负责治疗重伤患者，因此，创伤患者通常会在离家较远的地方住院。院前服务由全国一家主要供应商提供，农村地区有大量志愿者提供这些服务。新西兰有一个全国性的无过错事故保险系统，即事故赔偿公司，它为从路边到康复的所有创伤相关医疗保健提供资金。这个保险系统提供24小时无过错人身伤害保险。事故赔偿公司为医院提供大量资金，用于管理创伤患者护理的资源。为重伤患者分配了病例管理人员。这个全国性系统也注重康复。实际资金由医院管理，这使得医院工作人员能够为创伤患者提供最佳护理。新西兰在为澳大拉西亚（南太平洋诸岛，包括澳大利亚、新西兰和新几内亚）的患者建立国家创伤登记册、开展创伤研究和教育方面与澳大利亚密切合作。
