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Acute Pain Service in Hungarian hospitals.
PLOS ONE ( IF 3.7 ) Pub Date : 2021-09-22 , DOI: 10.1371/journal.pone.0257585
Orsolya Lovasi 1 , Judit Lám 2 , Réka Schutzmann 1 , Péter Gaál 2
Affiliation  

BACKGROUND Surgical procedures play an increasing role among health technologies to treat diseases. Pain often accompanies such diseases, both as a result of their pathology, but also as the side-effect of the intervention itself, and it is not only a burdensome subjective feeling, but adversely affects the recovery process, can induce complications and increases treatment costs. Acute Pain Service Teams are becoming increasingly widespread in hospitals to address post-operative pain, yet we have so far no data on how many hospitals have actually adopted this technology in Hungary. OBJECTIVES The main objectives of our study were to assess the prevalence of Acute Pain Service Teams, map their structure and operation, as well as to understand the barriers and conducive factors of their establishment in Hungarian hospitals. METHODS We carried out a survey among the 72 hospitals with surgical departments. The questionnaire was filled in by 52 providers, which gave us a response rate of 72.2%. RESULTS Our results show, that only two of the responding hospitals have Acute Pain Service Teams albeit their structure and operation are in line with the literature. In the 50 hospitals without such teams, financing difficulties and human resources shortages are mentioned to be the most important obstacles of their establishment, but the lack of initiative and interest on the part of the specialities concerned are also an important barrier. CONCLUSIONS Lagging behind the more affluent EU member states, but similarly to other Central and Eastern European countries, Acute Pain Service has been hardly adopted by Hungarian hospitals. Hungarian health professionals know the technology and would support its wider introduction, if the technical feasibility barriers could be overcome. Health policy should play a more active role to facilitate change in this area, the investment in which promises a substantial return in terms of health gains and cost savings.

中文翻译:

匈牙利医院的急性疼痛服务。

背景技术外科手术在治疗疾病的健康技术中扮演着越来越重要的角色。疼痛往往伴随这些疾病,既是病理结果,也是干预本身的副作用,不仅是一种沉重的主观感觉,而且对康复过程产生不利影响,会诱发并发症并增加治疗费用. 急性疼痛服务团队在医院中越来越普遍,以解决术后疼痛,但到目前为止,我们还没有关于匈牙利有多少医院实际采用这种技术的数据。目标我们研究的主要目标是评估急性疼痛服务团队的流行情况,绘制其结构和运作图,并了解其在匈牙利医院建立的障碍和有利因素。方法对72家设有外科的医院进行调查。问卷由 52 家提供者填写,回复率为 72.2%。结果 我们的结果表明,尽管其结构和运作与文献一致,但只有两家响应医院设有急性疼痛服务团队。在没有这样的团队的50家医院中,资金困难和人力资源短缺被认为是其成立的最大障碍,但相关专业缺乏主动性和兴趣也是一个重要障碍。结论 落后于较富裕的欧盟成员国,但与其他中欧和东欧国家类似,匈牙利医院几乎没有采用急性疼痛服务。匈牙利卫生专业人员了解这项技术,如果能够克服技术可行性障碍,他们将支持其更广泛的推广。卫生政策应发挥更积极的作用,促进这一领域的变革,投资有望在卫生收益和成本节约方面带来可观的回报。
更新日期:2021-09-22
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