Hello,
everyone.
Today,
I am going to about Doctor helicopter’s hoped any role. I am not
good at English.
Therefore,
I may use sometimes wrong English. But I do my best! Then I mainly
speak about three roles.
First
of all, Medical effectiveness
"The
research report about the actual condition of the doctor helicopter
in the 2004 fiscal year and evaluation" compared the actual
gross result in the case corresponding to the doctor helicopter which
was possible for gross result investigation, and the presumed gross
result by inland water way conveyance. As a result, the patient made
the rate which returns to work increase by 30% by using a doctor
helicopter. And the sequel of the intermediary degree was decreased
by 15%. The serious illness sequel was decreased by 47%. The
vegetative state was decreased by 37%. Death was decreased by
27%.Since these results of researching are subjective investigation,
there is a limit. However, if it is the conventional ambulance
conveyance, 27% of life of the patient who had died will be saved.
And it is thought that 45% of aftereffects of the patients who could
not avoid serious aftereffects were reduced. That is, the validity of
the doctor helicopter was proved. That is, the start of the quick
respiratory circulation management from the spot by the flight doctor
and a flight nurse improves a very critical trauma patient's
morbidity. And it became clear to have made possibility of survival
high and to have carried the patient to the hospital. In other words,
the doctor helicopter improved the quality of prehospital care and
has improved the gross result of carry cases.
According
to researching, the future-earnings evasion effect of the whole
doctor helicopter enterprise was calculated as 4,580 million yen.
That is, it became clear that the effect which a doctor helicopter
that has the rapidity and mobility has extended to reduction in a
death rate or not only mitigation of aftereffects but also reduction
of social cost.
Thirdly,
shortening of duration of hospitalization and reduction effect of
medical expenses
For
70 traffic accident patients carried at the Nippon Medical School
Chiba north total hospital were computed the injury severity score
(ISS), the physiological severity-of-illness score (RTS), and the
rate (TRISS) of prediction lifesaving. After adjusting the background
factor, the doctor helicopter conveyance group and the ambulance
conveyance group compared the number of days in the hospital and a
medical treatment fee. As a result, doctor helicopter conveyance
shortened the number of days in the hospital for about 17 days
compared with ambulance conveyance. And about 110,000 hospitalization
mark became low. That is, introduction of the doctor helicopter
suggested that the medical expenses to a traffic accident patient may
be reduced.
The
above is a role. I think probably that it was difficult to
understand, because the contents were special.Could you know about
helicopter’s hoped any role?
I
am going to talk about activity of the doctor helicopter next time.
See
you, next week.
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