Fletcher Nicholas A, Wilson Martin, Riley Julie, Nicolson Andrew
Walton Centre NHS Foundation Trust, Liverpool, UK.
Future Healthc J. 2019 Jun;6(2):123-128. doi: 10.7861/futurehosp.6-2-123.
UK neurology has many different models of provision and a shortage of essential clinical staff. Services are sometimes unsatisfactory and there is much variation and inequality, especially in areas outside London where there are far fewer consultants. Some hospitals have much better staffed and resourced neurological services than others which may have far less provision or even no neurology service at all. There is no national strategy or agreed model of service delivery - local areas have evolved individual arrangements, often dictated by consultant availability. We describe, with clear operational details, a neurology network model in a large population, with outcomes. In many areas with limited resources it could, by re-organisation of current services, be considered instead of existing separate, variable and potentially inequitable local arrangements.
英国的神经病学有多种不同的服务提供模式，且缺乏关键临床工作人员。服务有时不尽如人意，存在很大差异和不平等现象，尤其是在伦敦以外的地区，那里的顾问医生要少得多。一些医院的神经科服务人员配备和资源比其他医院好得多，而其他医院的服务可能少得多，甚至根本没有神经科服务。没有国家战略或商定的服务提供模式——当地自行发展了各自的安排，这往往取决于顾问医生的可获得性。我们详细描述了一个针对大量人群的神经病学网络模式及其成效。在许多资源有限的地区，通过重组现有服务，可以考虑采用这种模式来替代现有的分散、多变且可能不公平的地方安排。
