Sinha Surajit, Mudge Elizabeth
Torbay Hospital, Torquay.
Wound Healing Research Unit, Cardiff University School of Medicine.
Br J Community Nurs. 2013 Sep;Suppl:S6, S8, S10-3.
The NHS was founded upon the principle of providing health care for all, regardless of financial status. However, it has reached a point where patient demands are outgrowing NHS resources, causing conflict. Chronic wound management represents a considerable financial burden on health services in terms of manpower requirement, equipment, specialist opinion, and adjunct therapies, such as negative pressure wound therapy (NPWT). Although funding bodies often perceive NPWT to be expensive, there is evidence that if used appropriately it leads to faster healing, early discharge and better quality of life for patients with chronic wounds. However, it must be acknowledged that the type and quality of studies are mixed. Further evidence is required to justify the use of NPWT in chronic wounds in the primary and secondary health-care setting.
英国国民医疗服务体系（NHS）基于为所有人提供医疗保健的原则建立，无论其经济状况如何。然而，它已到了患者需求增长超过NHS资源的地步，从而引发了冲突。就人力需求、设备、专家意见以及诸如负压伤口治疗（NPWT）等辅助治疗而言，慢性伤口管理给医疗服务带来了相当大的经济负担。尽管资助机构通常认为NPWT成本高昂，但有证据表明，如果使用得当，它能使慢性伤口患者更快愈合、提前出院并提高生活质量。然而，必须承认的是，相关研究的类型和质量参差不齐。在初级和二级医疗保健环境中，还需要进一步的证据来证明在慢性伤口治疗中使用NPWT的合理性。
