医院服务的重新配置：是否有证据可供我们参考？
The reconfiguration of hospital services: is there evidence to guide us?
作者信息
Imison Candace
机构信息
West Norfolk Clinical Commissioning Group.
出版信息
Future Hosp J. 2015 Jun;2(2):137-141. doi: 10.7861/futurehosp.2-2-137.
Many argue that the solution to the NHS's quality and financial problems lies in the continuing reconfiguration and centralisation of hospital services. However, an ageing population requires good local access to care. This paper reviews the evidence that is available to help guide the reconfiguration of hospital services. The quality overall is poor and, in particular, there is little evidence that reconfiguring hospital services results in financial savings. For acute medical care, there is strong evidence both for enhanced direct and early consultant involvement, and for the importance of comprehensive supporting services. Clinical networks and new technologies may offer opportunities to sustain local access but more evidence is needed to guide network development and to ensure safe but sustainable medical staffing models.
许多人认为，解决国民保健制度（NHS）质量和财务问题的办法在于持续对医院服务进行重新配置和集中化。然而，人口老龄化要求当地能方便地获得医疗服务。本文回顾了有助于指导医院服务重新配置的现有证据。总体证据质量较差，特别是几乎没有证据表明重新配置医院服务能节省资金。对于急性医疗护理，有充分证据表明加强直接和早期的顾问参与以及综合支持服务的重要性。临床网络和新技术可能提供维持当地医疗服务可及性的机会，但需要更多证据来指导网络发展并确保安全且可持续的医疗人员配置模式。
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