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患者“被忽视”。坎特伯雷慈善医院:初步进展报告。

Patients "falling through the cracks". The Canterbury Charity Hospital: initial progress report.

作者信息

Bagshaw Philip F, Allardyce Randall A, Bagshaw Susan N, Stokes Brian W, Shaw Carl S, Proffit Lorraine J, Nicholls M Gary, Begg Evan J, Frampton Christopher M

机构信息

Department of Surgery, Christchurch Hospital, University of Otago Christchurch, PO Box 4345, Christchurch, New Zealand.

出版信息

N Z Med J. 2010 Aug 13;123(1320):58-66.

PMID:20720604
Abstract

AIM

To present the early experience of establishing a community-funded and volunteer-staffed hospital in Christchurch, New Zealand. This was to provide free selected elective healthcare services to patients in the Canterbury region who were otherwise unable to access treatment in the public health system or afford private healthcare.

METHODS

Data were reviewed relating to the establishment, financing, staffing and running of the Canterbury Charity Hospital. Details were provided of patients referred by their general practitioners who were seen and treated during the first two and a half years of function.

RESULTS

Canterbury Charity Hospital Trust, established in 2004, completed the purchase of a residential villa in 2005 and converted it into the Canterbury Charity Hospital, which performed its first operations in 2007. By the end of December 2009, 115 volunteer health professionals and 79 non-medical volunteers had worked at the Hospital, provided a total of 966 outpatient clinic appointments, of which 609 were initial assessments, and performed 610 surgical procedures. Funding of $NZ4.3 million (end of last financial year) came from fundraising events, donations, grants and interest from investments. There has been no government funding.

CONCLUSIONS

There is a substantial unmet need for elective healthcare in Canterbury, and this has, in part, been addressed by the recently established Canterbury Charity Hospital. The overwhelming community response we have experienced in Canterbury raises the question of whether the current public health system needs attention to be re-focused on unmet need. We contend that unless this occurs it might be necessary to establish charity-type hospitals elsewhere throughout the country.

摘要

目的

介绍在新西兰克赖斯特彻奇建立一家由社区资助且由志愿者提供人员支持的医院的早期经验。此举旨在为坎特伯雷地区那些无法在公共卫生系统获得治疗或负担不起私立医疗服务的患者提供免费的特定择期医疗服务。

方法

回顾了与坎特伯雷慈善医院的建立、资金、人员配备和运营相关的数据。提供了在该医院运营的前两年半期间由全科医生转诊并接受诊治的患者的详细信息。

结果

坎特伯雷慈善医院信托基金于2004年成立,2005年完成了对一栋住宅别墅的购置,并将其改造成坎特伯雷慈善医院,该医院于2007年开展了首例手术。截至2009年12月底,115名志愿医疗专业人员和79名非医疗志愿者在该医院工作,共提供了966次门诊预约,其中609次为初次评估,并实施了610例外科手术。(上一财政年度末)430万新西兰元的资金来自筹款活动、捐赠、补助金和投资利息。没有政府资金支持。

结论

坎特伯雷地区对择期医疗服务存在大量未得到满足的需求,最近成立的坎特伯雷慈善医院部分地满足了这一需求。我们在坎特伯雷所经历的社区的热烈反响引发了一个问题,即当前的公共卫生系统是否需要重新关注未得到满足的需求。我们认为,除非做到这一点,否则可能有必要在全国其他地方建立慈善型医院。

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