Bakker K, Dooren J
Afd. Inwendige Geneeskunde, Spaarne Ziekenhuis, Heemstede.
Ned Tijdschr Geneeskd. 1994 Mar 12;138(11):565-9.
Evaluation of the effectiveness of a foot clinic for diabetes patients.
Retrospective study and cost-effect analysis.
Spaarne Hospital, Heemstede.
The effectiveness of 5 years's activity (1987-1991) of a foot clinic was measured by comparing its patient population, the presenting ulcers and amputations, the average stay in hospital and the cost reduction with 1983-1986.
From 1987 to 1991 4323 diabetic check-ups were done in the clinic, of which 810 were first referrals. Of these first referrals 112 presented with a leg ulcer. Compared with the period before the establishment of the clinic in 1987, hospital admission for diabetic foot problems decreased from 48 to 29 days and 30 admissions could be prevented. The number of amputations decreased by 43%. The reduction in costs was calculated to be about Dfl. 325,000.--annually.
A specialised foot clinic reduces morbidity and cost in diabetes foot care. Central figures in this clinic are a chiropodist and a nurse, supported by a surgeon and specialists in internal diseases, rehabilitation and footwear.
评估糖尿病患者足部诊疗所的有效性。
回顾性研究及成本效益分析。
赫姆斯泰德的斯帕尔讷医院。
通过比较足部诊疗所5年（1987 - 1991年）的患者群体、出现的溃疡和截肢情况、平均住院时间以及成本降低情况与1983 - 1986年的数据，来衡量该诊疗所活动的有效性。
1987年至1991年，该诊疗所进行了4323次糖尿病检查，其中810例为首次转诊。在这些首次转诊患者中，112例出现腿部溃疡。与1987年诊疗所成立前的时期相比，因糖尿病足部问题的住院天数从48天降至29天，且可避免30例住院。截肢数量减少了43%。成本降低计算约为每年32.5万荷兰盾。
一家专业的足部诊疗所可降低糖尿病足部护理的发病率和成本。该诊疗所的核心人员是一名足病医生和一名护士，有一名外科医生以及内科、康复和鞋类方面的专家提供支持。
