Gordon Robert, Magee Christopher, Frazer Anna, Evans Craig, McCosker Kathryn
Centre for Health Service Development, University of Wollongong, Wollongong, 2522 Australia.
Prosthet Orthot Int. 2010 Jun;34(2):175-83. doi: 10.3109/03093640903510980.
This study compared the outcomes of an interim mechanical prosthesis program for lower limb amputees operated under a public and private model of service. Over a two-year period, 60 transtibial amputees were fitted with an interim prosthesis as part of their early amputee care. Thirty-four patients received early amputee care under a public model of service, whereby a prosthetist was employed to provide the interim mechanical prosthesis service. The remaining 26 patients received early amputee care under a private model of service, where an external company was contracted to provide the interim mechanical prosthesis service. The results suggested comparable clinical outcomes between the two patient groups. However, the public model appeared to be less expensive with the average labour cost per patient being 29.0% lower compared with the private model. The results suggest that a public model of service may provide a more comprehensive and less expensive interim prosthesis program for lower limb amputees.
本研究比较了在公共和私人服务模式下接受手术的下肢截肢者的临时机械假肢项目的结果。在两年时间里，60名经胫骨截肢者安装了临时假肢，作为其早期截肢护理的一部分。34名患者在公共服务模式下接受早期截肢护理，即聘请一名假肢师提供临时机械假肢服务。其余26名患者在私人服务模式下接受早期截肢护理，由一家外部公司签约提供临时机械假肢服务。结果表明两组患者的临床结果相当。然而，公共模式似乎成本更低，每位患者的平均劳动力成本比私人模式低29.0%。结果表明，公共服务模式可能为下肢截肢者提供更全面且成本更低的临时假肢项目。
