摘要
目的:根据对国内疼痛发展现状的了解,探讨疼痛科发展策略、科室建设和管理办法。方法:通过实地考察和个人通信等,对收集到的资料进行综合评价,并向医院相关科室了解核实。根据国内疼痛治疗难以形成规模、产生效益的现状,比较疼痛和康复治疗的联系,探讨二者合并的可行性及优缺点。结果:疼痛科的组建应充分利用现有康复科人、财、物资源,合并组成疼痛康复中心,发挥各自优势,取长补短,形成规模效益。病区的设置应包括疼痛病区、康复病区、理疗区、手术室和护士工作站。提高门诊诊治水平和经济效益。治疗应以微创手术为主、综合治疗为辅,形成专科特色。管理应走企业化经营道路。结论:疼痛科应与康复科合并组成疼痛康复中心,走协同发展的道路。
AIM:To probe into the development strategy,department construction and management methods of the pain department according to the current situation of pain treatment in China. METHODS:Based on on spot investigation and individual correspondence,we made a comprehensive evaluation of the collected materials and testified them from the hospital departments involved. Under the current situation of pain treatment in China,namely, difficulty in forming a large scale and yielding social and economic results,relation between pain and rehabilitation therapy is discussed to explore the feasibility,advantages and disadvantages of combining the two. RESULTS:The construction of the pain department should make full use of the human,financial and equipment resources available in the rehabilitation department,merging the pain department with the rehabilitation department to set up the pain and rehabilitation center. It will give full play to the respective advantages and avoid the weaknesses and produce large scale results.The ward layout should consist of pain,rehabilitation and physiotherapy wards,operation room and nurse station. Outpatient diagnosis and treatment and the economic effect should be improved.Treatment should be centered on micro invasive operations with comprehensive treatment as supplement so as to form the specialty based characteristic.The department should be managed as an enterprise. CONCLUSION:The pain department should be merged with the rehabilitation department to set up the pain and rehabilitation center to achieve collaborative development.
出处
《中国临床康复》
CSCD
北大核心
2005年第6期252-253,共2页
Chinese Journal of Clinical Rehabilitation