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老年髋部骨折多学科共同管理模式在我国县级医院实施的初步探讨

The implementation of multidisciplinary co-management for older hip fracture patients in country-level hospitals; a perspective from China

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【作者】 刘鑫妍刘廷卓张馨艺张京彭俊祎唐宁刘刚杨明辉田懋一

【Author】 Liu Xinyan;Liu Tingzhuo;Zhang Xinyi;Zhang Jing;Peng Junyi;Tang Ning;Liu Gang;Yang Minghui;Tian Maoyi;Department of Hygiene,School of Public Health,Harbin Medical University;Department of Traumatology and Orthopedics,Beijing Jishuitan Hospital,Capital Medical University;Department of General Practice,the Second Affiliated Hospital of Harbin Medical University;

【通讯作者】 田懋一;

【机构】 哈尔滨医科大学公共卫生学院卫生学教研室首都医科大学附属北京积水潭医院创伤骨科哈尔滨医科大学附属第二医院全科医疗科

【摘要】 我国老年髋部骨折已成为日益严重的公共卫生问题。传统的管理模式效率不高,需要优化。多学科共同管理模式可减少手术等待时间,优化手术术式,提供术后康复和骨保护治疗,预防再骨折。县级医院是我国农村地区居民的主要诊疗机构,随着规模和医疗水平不断提升及慢性病治疗和管理方面累积的优势,为多学科共同管理模式的开展提供了基础。县级医院应因地制宜地制定和开展老年髋部骨折多学科共同管理模式,进而合理优化医疗资源,减轻医疗系统负担,让更多的患者从中获益。

【Abstract】 Hip fractures in the elderly have become a serious public health problem in China. However, the traditional management model is inefficient and needs to be optimized. The multidisciplinary co-management models could reduce delay for surgery, optimize surgical procedures, provide postoperative rehabilitation and bone-protective treatments, and prevent refractures. County-level hospitals are the main force to provide medical services for people living in rural areas. In recent years, the continuously improved scale and medical levels, together with the advantages in the treatment and management of chronic diseases, provide foundation for the development of multidisciplinary co-management models. County-level hospitals need to set up multidisciplinary co-management models according to local conditions for geriatric hip fractures, which would optimize healthcare resources, reduce the burden on the healthcare system, and benefit more patients.

【基金】 哈尔滨医科大学领军学科人才激励项目(0102-31021220002)
  • 【文献出处】 创伤外科杂志 ,Journal of Traumatic Surgery , 编辑部邮箱 ,2024年02期
  • 【分类号】R687.3
  • 【下载频次】35
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