全民医疗保健系统如何影响手外科实践：英国视角。

How a Nationalized Health Care System Influences Hand Surgery Practice: The United Kingdom Perspective.

机构信息

Hand Unit, University Hospital Southampton, Tremona Road, Southampton SO166YD, UK.

出版信息

Hand Clin. 2020 May;36(2):171-180. doi: 10.1016/j.hcl.2020.01.004.

DOI:10.1016/j.hcl.2020.01.004

Abstract

The United Kingdom's health care is provided free at the point of delivery by the National Health Service (NHS). The NHS uses an internal market model to fund health care, as opposed to using a provider-purchaser partnership model. Hand surgery is provided by plastic surgeons and trauma and orthopaedic surgeons. The nationalized system has disadvantages and benefits. This environment is heavily cost controlled, with some restrictions on individual practice and associated long waiting times. The advantages include a large population base for research in hand surgery and careful monitoring systems for problems with devices and recommendations for various treatments.

摘要

英国的医疗保健服务由国民保健服务（NHS）提供，在交付时免费。NHS 使用内部市场模式为医疗保健提供资金，而不是使用供应商-购买方合作模式。手外科手术由整形外科医生和创伤骨科医生提供。国有化系统有其优缺点。这种环境受到严格的成本控制，对个人实践和相关的长时间等待有一些限制。其优点包括手外科研究的庞大人口基础以及对设备问题和各种治疗建议的仔细监测系统。