McKenzie S A, Kurtianyk O, Kidd M, Knowles D, Lipman H
Queen Elizabeth Hospital for Children, London.
BMJ. 1993 Apr 3;306(6882):914-6. doi: 10.1136/bmj.306.6882.914.
At the request of the largest children's hospital in Moscow, McKenzie and colleagues made recommendations for improving the service. Restrictions on visiting and fears of contracting illness from non-disposable needles have discouraged the local population from using the hospital. Consequently the hospital is underused and overstaffed. Serious shortages of drugs and surgical supplies compromise care. Fundamental changes are needed in nursing and postgraduate education. The authors encouraged their Russian colleagues to address the health care needs of their local population and to develop family centred care, and they offered training in London.
应莫斯科最大儿童医院的请求，麦肯齐及其同事提出了改善服务的建议。对探视的限制以及对使用非一次性针头感染疾病的担忧，使当地居民不愿前往该医院就医。因此，医院使用不足但人员过剩。药品和手术用品严重短缺，影响了医疗护理。护理和研究生教育需要进行根本性变革。作者鼓励俄罗斯同事满足当地居民的医疗保健需求，并开展以家庭为中心的护理，他们还在伦敦提供培训。
