Walker S C, Helm P A, Pullium G
Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, USA.
Clin Podiatr Med Surg. 1995 Jan;12(1):63-73.
It must be stressed that these tools do not exist in a vacuum and that no single tool is particularly useful unless it is a part of a comprehensive, lifelong foot-care program. A partnership between the health care provider and the patient is essential in making any of these techniques useful. On the positive side, a program incorporating these techniques can be very successful with even the most difficult population. The very successful Parkland Memorial Hospital program provides care for a county hospital population that is often difficult in terms of compliance. Without question, the reasons for incorporating such a program in a public facility are sound. Amputations are avoided; and patients remain or become more functional, thus decreasing hospital cost and patient morbidity and mortality and increasing the patient's potential for contributing to society. Similarly, in private facilities, once the program is established, costs need not run high and considerable amounts can be saved by helping heal and/or prevent the horrendous sequelae of diabetic neuropathies.
必须强调的是，这些工具并非孤立存在，而且除非作为全面的终身足部护理计划的一部分，否则没有任何单一工具会特别有用。医疗服务提供者与患者之间的合作对于使这些技术中的任何一种发挥作用至关重要。从积极的方面来看，即使针对最难护理的人群，纳入这些技术的计划也可能非常成功。非常成功的帕克兰纪念医院计划为一家县医院的患者提供护理，这些患者在依从性方面往往存在困难。毫无疑问，在公共机构中纳入这样一个计划的理由是充分的。可以避免截肢；患者保持或变得更具功能，从而降低医院成本以及患者的发病率和死亡率，并增加患者为社会做出贡献的潜力。同样，在私立机构中，一旦该计划确立，成本不一定会很高，而且通过帮助治愈和/或预防糖尿病神经病变的可怕后遗症，可以节省大量费用。
