Ham R, Regan J M, Roberts V C
Prosthet Orthot Int. 1987 Apr;11(1):25-30. doi: 10.3109/03093648709079376.
The effects of introducing the Team Approach to the management of the lower limb amputee has been assessed in a consecutive series of 233 patients over a five year period. During the first year, baseline data was collected and during the subsequent yearly phases the effects of introducing a physiotherapist co-ordinator, visiting prosthetist and medical officer from the local Artificial Limb and Appliance Centre (ALAC), and finally trained surgeons were studied. During the final phases of the study, the effects of changing team staff were monitored. The results have shown that only when the full Team Approach is adopted are the best results achieved, but that, once this approach is established, staff changes can be made without serious reductions in effectiveness. The study has shown that the team can reduce in-patient stay by 20 days; reduce the need for post-discharge physiotherapy by 94%; increase the proportion of patients discharged with a prosthesis more than fivefold and increase the effectiveness of long term rehabilitation threefold.
在五年期间，对连续收治的233例下肢截肢患者采用团队协作方法进行管理，评估其效果。在第一年收集基线数据，在随后的各年度阶段，研究引入物理治疗协调员、来访的假肢师以及当地假肢与器具中心（ALAC）的医务人员的效果，最后研究经过培训的外科医生的效果。在研究的最后阶段，监测团队人员变动的影响。结果表明，只有采用完整的团队协作方法才能取得最佳效果，但是，一旦确立这种方法，人员变动不会导致效果严重下降。该研究表明，团队可使住院时间缩短20天；将出院后物理治疗的需求减少94%；使安装假肢出院的患者比例增加五倍多，并使长期康复效果提高两倍。
