Fitzgerald Gerry, Tippett Vivienne, Schuetz Michael, Pollard Cliff
Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
ANZ J Surg. 2008 Sep;78(9):780-3. doi: 10.1111/j.1445-2197.2008.04649.x.
The aim of this paper is to outline the development of 'A Trauma Plan for Queensland'. Injury is one of Australia's National Health Priorities. The full impact of injury, including early death, reduction in quality of life and the social and emotional costs to individuals and the community are immeasurable. The direct health-care costs alone amounted to A dollars 4.13 bn in 2000-2001. Queensland has one of the highest rates of injury in Australia. An estimated 1500 Queenslanders die each year as a result of major traumatic injury and it is the single most common cause of death between the ages of 1 and 35 years.
The Queensland Trauma Plan was based on a detailed analysis of the management and outcome of trauma in Queensland and used an extensive process of stakeholder consultation to identify proposals for system improvement. Sequential workshops helped identify the issues and strategies for system improvement. These proposals were condensed into a high-level strategic plan, which has now been endorsed by the Queensland Government.
The Trauma Plan identifies service enhancements and the improved coordination required to support ongoing policy development, research and education. The Plan outlines a future direction for the development of trauma services and the system and structures required to support that development.
The Trauma Plan holds potential as a model for the development of future trauma services and injury prevention programmes. The process shows the value of engagement of clinicians and others into the policy development and planning processes. The outcome reinforces the value of taking a whole of community, coordinated and collaborative approach to injury prevention and management.
本文旨在概述《昆士兰创伤计划》的制定情况。伤害是澳大利亚国家卫生重点领域之一。伤害造成的全面影响，包括过早死亡、生活质量下降以及对个人和社区的社会及情感成本，是无法估量的。仅在2000 - 2001年，直接医疗保健成本就达41.3亿澳元。昆士兰是澳大利亚伤害发生率最高的地区之一。据估计，每年有1500名昆士兰人死于重大创伤性伤害，它是1至35岁人群中最常见的单一死因。
《昆士兰创伤计划》基于对昆士兰创伤管理和结果的详细分析，并通过广泛的利益相关者协商过程来确定系统改进建议。一系列研讨会有助于确定系统改进的问题和策略。这些建议被浓缩成一项高级战略计划，该计划现已得到昆士兰政府的认可。
《创伤计划》确定了服务改进措施以及为支持持续的政策制定、研究和教育所需的更好协调。该计划概述了创伤服务发展的未来方向以及支持该发展所需的系统和结构。
《创伤计划》有潜力成为未来创伤服务和伤害预防计划发展的典范。该过程显示了让临床医生和其他人参与政策制定和规划过程的价值。结果强化了采取全社区、协调和协作的方法进行伤害预防和管理的价值。
