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创伤中心:一种关于需求、成本和人员配置模式的务实方法。

Trauma centers: a pragmatic approach to need, cost, and staffing patterns.

作者信息

Teufel W L, Trunkey D D

出版信息

JACEP. 1977 Dec;6(12):546-51. doi: 10.1016/s0361-1124(77)80426-7.

DOI:10.1016/s0361-1124(77)80426-7
PMID:926512
Abstract

Based on the recommendations of the Health Services Administration and the Committee on Trauma of the American College of Surgeons, optimal staffing patterns for a trauma center are unrealistic in cost and personnel needs for all but a few large, urban teaching hospitals. As an alternative, the staffing pattern for a trauma program for a nonuniversity community hospital consists of one general surgeon, an anesthesiologist and one emergency physician. In addition, surgical subspecialists in thoracic surgery, urology, obstetrics and gynecology, ophthalmology, otolaryngology and plastic surgery would be on call within 30 minutes. A paid, part-time program director and paid coordinator of nursing and allied health personnel would be on staff. Need for trauma centers versus trauma programs can be assessed by using 5% of the number of motor vehicle accidents in an area to forecast the number of traumatic injuries. This is done in California as an example.

摘要

根据卫生服务管理局和美国外科医师学会创伤委员会的建议,除了少数大型城市教学医院外,创伤中心的最佳人员配备模式在成本和人员需求方面都不现实。作为替代方案,非大学社区医院创伤项目的人员配备模式包括一名普通外科医生、一名麻醉师和一名急诊医生。此外,胸外科、泌尿外科、妇产科、眼科、耳鼻喉科和整形外科的外科专科医生应在30分钟内随叫随到。一名带薪兼职项目主任以及护理和专职医疗人员的带薪协调员将在职。创伤中心与创伤项目的需求可通过使用某地区机动车事故数量的5%来预测创伤性损伤的数量进行评估。以加利福尼亚州为例就是这样做的。

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引用本文的文献

1
Comprehensive regional trauma/emergency medical services (EMS) delivery systems: the United States experience.
World J Surg. 1983 Jan;7(1):149-57. doi: 10.1007/BF01655923.
2
The 'request for proposal' approach to designation of a trauma center.指定创伤中心的“征求建议书”方法。
West J Med. 1983 Jan;138(1):120-5.
3
Organization of emergency medical services.紧急医疗服务的组织
West J Med. 1979 Jan;130(1):83-9.