Paixão A, Ian W F, Evora M, Morais J H
Serviço de Cardiologia, Centro Hospitalar Conde de S. Januário, Macau.
Acta Med Port. 1998 Jul;11(7):649-53.
In the last decades, the conceptual and technical advances in paediatric cardiology have brought additional options concerning the provision of paediatric cardiology care. The purpose of this study was to analyse the initial experience of a paediatric cardiology service in a conventional general hospital serving a population of nearly 450,000 inhabitants, mostly Chinese. Access to several levels of care, including cooperation with a tertiary referral center, is described. From September 1993 to July 1995, 717 children with either suspected or diagnosed heart disease were seen: 294 (41%) were discharged and, of the remaining 423 with heart disease, 364 (85%) had congenital heart disease; 75% were adequately managed with the available local resources. Appropriate referrals provided more advanced approaches for the smaller group requiring them. The training of local doctors has ensured the continuity of a good standard of care for this group of paediatric patients in Macau, with an evident reduction in direct as well as indirect costs.
在过去几十年中，小儿心脏病学在概念和技术方面取得的进展为小儿心脏病护理提供了更多选择。本研究的目的是分析一家传统综合医院的小儿心脏病服务的初步经验，该医院服务于近45万居民，大多数为中国人。文中描述了获得包括与三级转诊中心合作在内的多层次护理的情况。1993年9月至1995年7月，共诊治了717例疑似或确诊心脏病患儿：294例（41%）出院，其余423例心脏病患儿中，364例（85%）患有先天性心脏病；75%的患儿利用当地现有资源得到了妥善治疗。适当的转诊为需要的较小群体提供了更先进的治疗方法。对当地医生的培训确保了澳门这组儿科患者能够持续获得高标准的护理，同时直接和间接成本明显降低。
