急诊普通外科区域化的利弊辩论：是争议还是常识？
Pro-con debate on regionalization of emergency general surgery: controversy or common sense?
作者信息
Santry Heena, Kao Lillian S, Shafi Shahid, Lottenberg Lawrence, Crandall Marie
机构信息
Department of Surgery and Center for Surgical Health Assessment, Research and Policy, Ohio State University, Columbus, Ohio, USA.
Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
出版信息
Trauma Surg Acute Care Open. 2019 May 19;4(1):e000319. doi: 10.1136/tsaco-2019-000319. eCollection 2019.
Abstract
More than three million patients every year develop emergency general surgical (EGS) conditions and this number is rising. EGS diseases range from straightforward to potentially life-threatening, and if severe or complex may require extensive resources. Given the looming surgeon shortage and concerns about access to care, regionalization of EGS care, in a manner similar to trauma care, has been proposed. We present a unique pro-con debate highlighting the salient arguments for and against regionalization of EGS care in the USA.
摘要
每年有超过300万患者出现普通外科急症（EGS）情况，且这一数字正在上升。EGS疾病范围从简单的到可能危及生命的，如果病情严重或复杂，可能需要大量资源。鉴于外科医生短缺的问题日益凸显以及对医疗服务可及性的担忧，有人提议以类似于创伤护理的方式对EGS护理进行区域化。我们进行了一场独特的正反方辩论，突出了在美国支持和反对EGS护理区域化的主要论点。
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