Hughes Lloyd D
Department of Ageing and Health, Academic Foundation Doctor, NHS Tayside and University of Dundee, 1 Albert Crescent, Newport on Tay, Kingdom of Fife, DD6 8DT, Scotland.
J Family Med Prim Care. 2014 Oct-Dec;3(4):345-54. doi: 10.4103/2249-4863.148106.
Over the last two decades in particular there has been a remarkable increase in the number of solid organ transplants being performed worldwide alongside improvements in long-term survival rates. However, the infrastructure at transplant centres has been unable to keep pace with the current volume of the transplant patient work load. These pressures on transplant specialist centres has led to calls for an increased role of the general practitioner (GP) managing particular aspects of transplant patients' medical care. Indeed, many aspects of follow-up care such as screening for malignancies, preventing infection through immunisation programmes, and managing cardiovascular risk factors are already important aspects of family practice medicine. This paper aims to review some of the aspects of transplant patient care that is important for healthcare workers in family practice to manage.
特别是在过去二十年中,全球范围内进行的实体器官移植数量显著增加,同时长期生存率也有所提高。然而,移植中心的基础设施已无法跟上目前移植患者工作量的增长速度。移植专科中心面临的这些压力促使人们呼吁全科医生(GP)在管理移植患者医疗护理的特定方面发挥更大作用。事实上,后续护理的许多方面,如恶性肿瘤筛查、通过免疫计划预防感染以及管理心血管危险因素,已经是家庭医学实践的重要方面。本文旨在回顾移植患者护理的一些方面,这些方面对于家庭医学中的医护人员进行管理非常重要。