Lindholm Christina, Searle Richard
Sophiahemmet University, Stockholm, Sweden.
Smith & Nephew Medical Ltd, Hull, UK.
Int Wound J. 2016 Jul;13 Suppl 2(Suppl 2):5-15. doi: 10.1111/iwj.12623.
Treatment of wounds of different aetiologies constitutes a major part of the total health care budget. It is estimated that 1·5-2 million people in Europe suffer from acute or chronic wounds. These wounds are managed both in hospitals and in community care. The patients suffering from these wounds report physical, mental and social consequences of their wounds and the care of them. It is often believed that the use of wound dressings per se is the major cost driver in wound management, whereas in fact, nursing time and hospital costs are together responsible for around 80-85% of the total cost. Healing time, frequency of dressing change and complications are three important cost drivers. However, with the use of modern, advanced technology for more rapid wound healing, all these cost drivers can be substantially reduced. A basic understanding of the terminology and principles of Health Economics in relation to wound management might therefore be of interest.
不同病因伤口的治疗占医疗保健总预算的很大一部分。据估计，欧洲有150万至200万人患有急性或慢性伤口。这些伤口在医院和社区护理中都需要进行处理。患有这些伤口的患者报告了伤口及其护理带来的身体、心理和社会后果。人们通常认为伤口敷料本身是伤口管理中的主要成本驱动因素，而实际上，护理时间和医院成本加起来占总成本的80%至85%左右。愈合时间、换药频率和并发症是三个重要的成本驱动因素。然而，通过使用现代先进技术来实现伤口更快愈合，所有这些成本驱动因素都可以大幅降低。因此，对与伤口管理相关的卫生经济学术语和原则有一个基本的了解可能会很有意义。
