Hiatt J R, Kobayashi M R, Dees G, Ransom K J
Department of Surgery, UCLA School of Medicine.
Am Surg. 1991 Jun;57(6):359-60.
The effects of the closure of a busy trauma center on an adjacent university trauma hospital were analyzed. Significant increases were found in monthly volume (P less than .01) and frequency of penetrating injuries (P less than .05) and significant decreases in patients with insurance coverage (P less than .01) and numbers requiring intensive care (P less than .01). The authors conclude that trauma center closures have significant and measurable effects which influence allocation of scarce resources within remaining hospitals and generate pressures to transfer patients to overburdened public facilities. Transfers undermine continuity of care and education and further threaten the integrity of the trauma system.
分析了一家繁忙的创伤中心关闭对相邻大学创伤医院的影响。发现每月就诊量（P<0.01）和穿透伤发生率（P<0.05）显著增加，而有保险覆盖的患者数量（P<0.01）和需要重症监护的人数（P<0.01）显著减少。作者得出结论，创伤中心关闭具有显著且可衡量的影响，这会影响剩余医院内稀缺资源的分配，并产生将患者转至负担过重的公共设施的压力。转运会破坏医疗和教育的连续性，并进一步威胁创伤系统的完整性。
