Thal E R, Rochon R B
University of Texas Southwestern Medical Center, Dallas.
Surg Clin North Am. 1991 Apr;71(2):209-19. doi: 10.1016/s0039-6109(16)45375-2.
Trauma systems have proved effective in reducing morbidity and mortality rates. Depending on a center's geographic location and patient mix between penetrating and blunt trauma, participation in a system may be a liability or an asset. In general, inner-city hospitals tend to see more indigent patients and to have sizeable financial losses. At the same time, they provide an invaluable service to any community, and their ability to do so must be preserved. The two important issues of malpractice and uncompensated care threaten to destroy the very concept of trauma care and therefore pose a serious threat to the health care profession. Solutions are possible, but it will take a significant public awareness and education campaign to elicit the support and initiate the programs that will ensure that every injured patient has an opportunity to receive the best of trauma care. Inner-city hospitals are both a financial burden and a community savior.
创伤系统已被证明在降低发病率和死亡率方面是有效的。根据一个中心的地理位置以及穿透性创伤和钝性创伤患者的构成情况，参与一个系统可能是一种负担，也可能是一项资产。一般来说，市中心医院往往会接待更多贫困患者，并且会有相当大的经济损失。与此同时，它们为任何社区提供了极其宝贵的服务，而且必须保留它们这样做的能力。医疗事故和无偿护理这两个重要问题有可能破坏创伤护理的概念，因此对医疗行业构成严重威胁。解决办法是可行的，但需要开展一场大规模的公众意识和教育运动，以获得支持并启动相关项目，确保每个受伤患者都有机会接受最佳的创伤护理。市中心医院既是经济负担，也是社区的救星。
