Butcher Martyn, White Richard
South West Wound Care Consultancy, Devon.
Nurs Stand. 2014 May 6;28(35):51-8. doi: 10.7748/ns2014.04.28.35.51.e7671.
With increasing health service cutbacks, cost-effectiveness is a central issue in many wound care decisions. Clinicians are frequently required to justify clinical decision making in terms of health benefits obtained and the cost to health service providers. However, few clinicians have the skills to accurately interpret cost in more than local health economic terms, and the disjointed structures that exist in healthcare provision mean that even those who monitor health expenditure have little concept of the global cost of care provision. This article focuses on the pressures placed on healthcare providers to achieve cost-effectiveness in care, specifically in relation to wound care and the effect that pain at dressing change has on the cost of care.
随着医疗服务削减的增加，成本效益成为许多伤口护理决策中的核心问题。临床医生经常需要根据所获得的健康益处以及医疗服务提供者的成本来证明临床决策的合理性。然而，很少有临床医生具备超越地方卫生经济术语准确解读成本的技能，而且医疗服务提供中存在的脱节结构意味着，即使是那些监测医疗支出的人，对护理提供的总体成本也几乎没有概念。本文重点关注医疗服务提供者在实现护理成本效益方面所面临的压力，特别是与伤口护理相关的压力，以及换药时的疼痛对护理成本的影响。
