无边界创伤中心：COVID-19 大流行期间提供护理的新模式。
Wound Center Without Walls: The New Model of Providing Care During the COVID-19 Pandemic.
机构信息
American Board of Podiatric Medicine, Los Angeles, CA.
Professor of Surgery and Director, Southwestern Academic Limb Salvage Alliance (SALSA), Keck School of Medicine, University of Southern California, Los Angeles, CA.
出版信息
Wounds. 2020 Jul;32(7):178-185. Epub 2020 Apr 24.
The COVID-19 pandemic poses a major challenge in delivering care to wound patients. Due to multiple comorbidities, wound patients are at an increased risk for the most extreme complications of COVID-19 and providers must focus on reducing their exposure risk. The Federal, State, and local governments, as well as payers, have urged hospitals and providers to reduce utilization of nonessential health services, but they also have given more flexibility to shift the site of necessary care to lower risk environments. Providers must be prepared for disruption from this pandemic mode of health care for the next 18 months, at minimum. The wound provider must accept the new normal during the pandemic by adapting their care to meet the safety needs of the patient and the public. The Wound Center Without Walls is a strategy to untether wound care from a physical location and aggressively triage and provide care to patients with wounds across the spectrum of the health system utilizing technology and community-centered care.
新冠疫情给伤口患者的护理带来了重大挑战。由于存在多种合并症，伤口患者感染新冠病毒后出现最严重并发症的风险增加，因此医护人员必须重点降低其暴露风险。联邦、州和地方政府以及支付方都敦促医院和医护人员减少非必要卫生服务的使用，但也为将必要护理转移到低风险环境提供了更大的灵活性。医护人员必须为至少未来 18 个月的这种大流行医疗模式做好准备。在疫情期间，伤口护理提供者必须接受新常态，调整护理以满足患者和公众的安全需求。无围墙伤口中心是一种策略，可以将伤口护理从物理位置中解放出来，并利用技术和以社区为中心的护理，积极对各级卫生系统中的伤口患者进行分诊和提供护理。
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