Provision of facilities for secondary transport of seriously ill patients in the United Kingdom
Provision of facilities for secondary transport of seriously ill patients in the United Kingdom
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为英国重病患者提供二次转运设施
DOI：
10.1136/bmj.296.6621.543
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
I. Ledingham
中科院分区：
文献类型：
--
作者：
I. Wright;J. McDonald;P. Rogers;I. Ledingham
通过问卷调查的280家医院与一般重症监护病房进行了调查，以了解什么设施提供的第二次运输的重症病人在英国。共收到181个单位的答复。从调查数据推断，每年约有10 000名病人被转送，尽管许多单位只转送了少数病人。相当少的单位报告说，二级运输设施不足，许多单位不得不派没有经验的医务人员运送病人。几乎一半的受访者认为转学安排不令人满意，但只有十分之一的受访者表示，他们因此而推迟或拒绝转学。这无疑反映了资源不足，但仍要“凑合”的政策。我们认为，这些结果支持区域运输服务的概念，即每个主要单位都有足够的设备和人员，避免不必要的资源重叠。
A survey by questionnaire of 280 hospitals with general intensive care units was carried out to find out what facilities were provided for secondary transport of seriously ill patients in the United Kingdom. Replies were received from 181 units. Extrapolating from the survey data showed that about 10 000 patients were transported each year, although many units transferred only a few patients. An appreciable minority of units reported that facilities for secondary transport were inadequate and many were obliged to send inexperienced medical staff with patients. Almost half of the respondents thought that arrangements for transfer were unsatisfactory, but only a tenth said that they delayed or refused transfer for this reason. This undoubtedly reflects a policy of “making do” despite inadequate resources. We believe that these results support the concept of regional transport services, where each major unit would be adequately equipped and staffed and unnecessary duplication of resources avoided.