The University of Utah Department of Orthopaedic Surgery, University of Utah Health, Salt Lake City, UT.
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.
J Arthroplasty. 2020 Jul;35(7S):S10-S14. doi: 10.1016/j.arth.2020.04.030. Epub 2020 Apr 21.
The COVID-19 pandemic has created widespread changes across all of health care. As a result, the impacts on the delivery of orthopedic services have been challenged. To ensure and provide adequate health care resources in terms of hospital capacity and personnel and personal protective equipment, service lines such as adult reconstruction and lower limb arthroplasty have stopped or substantially limited elective surgeries and have been forced to re-engineer care processes for a high volume of patients. Herein, we summarize the similar approaches by two arthroplasty divisions in high-volume academic referral centers in (1) the cessation of elective surgeries, (2) workforce restructuring, (3) phased delivery of outpatient and inpatient care, and (4) educational restructuring.
新冠疫情对整个医疗保健行业造成了广泛的影响。因此，骨科服务的提供受到了挑战。为了确保和提供足够的医院容量、人员和个人防护设备等医疗资源，成人重建和下肢关节置换等服务线已经停止或大幅限制了择期手术，并被迫重新设计大量患者的护理流程。在此，我们总结了两个高容量学术转诊中心的关节置换科在以下四个方面采取的类似方法：（1）停止择期手术，（2）劳动力重组，（3）分阶段提供门诊和住院护理，（4）教育结构重组。
