Dowsett C, Bielby A, Searle R
East London Foundation Trust, The Centre Manor Park 30 Church Road Manor Park, London E12 6AQ.
J Wound Care. 2014 Nov;23(11):552, 554, 556-8 passim. doi: 10.12968/jowc.2014.23.11.552.
Demographic and epidemiological data suggest that health-care demand will increase considerably in the future as a result of an ageing population and a rise in the prevalence of chronic diseases such as diabetes. This phenomenon has come to be referred to as the 'health care time bomb' in the popular press and political discourse. The authors seek to look beyond the headlines and political rhetoric to clarify the extent to which they reflect the likely future reality with a specific focus on wound management. The present-day burden that wounds and current wound management practices place upon the health-care system are detailed and clarified, and the potential future implications of increasing wound prevalence on the current picture are explored. Possible opportunities to enhance current wound management practice as identified in the analysis are discussed.
人口统计学和流行病学数据表明，由于人口老龄化以及糖尿病等慢性病患病率上升，未来医疗保健需求将大幅增加。这一现象在大众媒体和政治话语中被称为“医疗保健定时炸弹”。作者试图透过新闻标题和政治言辞，以伤口管理为重点，阐明它们在多大程度上反映了未来可能的现实。文中详细阐述并厘清了目前伤口给医疗保健系统带来的负担以及当前的伤口管理做法，并探讨了伤口患病率上升对当前状况可能产生的未来影响。文中还讨论了分析中确定的改善当前伤口管理做法的潜在机会。
