Reports show management of CHD has improved
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《英国医生杂志》
London
The NHS in England has significantly improved the management of coronary heart disease (CHD) but has made less progress in preventing the disease, independent reviews of four geographical areas say.
The reviews assessed how far the NHS in each of the four areas—Croydon in south London, Plymouth in Devon, west Suffolk, and Hambleton and Richmondshire in Yorkshire—had progressed towards implementing the standards set out in the national service framework for coronary heart disease, published in March 2000 ( BMJ 2000;320: 665). The framework set out 12 standards for preventing, diagnosing, and treating coronary heart disease, to be met by 2010.
Researchers from two independent bodies, the Commission for Health Improvement and the Audit Commission, assessed progress by visiting the four areas to evaluate relevant services. They also reviewed a range of information from different sources collected by the relevant hospital and general practice authorities, including routine data such as hospital admissions and waiting times, and surveys of patients.
Results of the reviews showed that the greatest progress related to clinical care of patients with CHD. They showed a reduction in average waiting times and improved access to specialist coronary care services, in particular to angioplasty and coronary artery bypass grafts. In Croydon, waiting times for both these procedures had fallen, and the specialist heart hospital in the area, St George's Hospital, was on track to meet the March 2005 national target of having no one waiting more than three months.
Substantial new investment in CHD services in Hambleton and Richmondshire had resulted in South Tees Hospitals NHS Trust having one of the shortest waiting times for heart surgery in England. Waiting times for coronary artery bypass grafts and angioplasty had also fallen in Plymouth and West Suffolk, although they were still longer than the national average.
The time for administration of thrombolytics to patients with a myocardial infarction had also decreased. Mayday Hospital (Croydon) had performed better than the national average, with more than 85% of patients treated within 20 minutes of reaching hospital. All patients suitable for thrombolytics admitted to Friarage Hospital (Hambleton and Richmondshire) received them within 30 minutes of arrival. West Suffolk Hospital was more likely to give these drugs within 30 minutes of a patient arriving at hospital than the national average, while Derriford Hospital (Plymouth) had not yet achieved this target.(Susan Mayor)
The NHS in England has significantly improved the management of coronary heart disease (CHD) but has made less progress in preventing the disease, independent reviews of four geographical areas say.
The reviews assessed how far the NHS in each of the four areas—Croydon in south London, Plymouth in Devon, west Suffolk, and Hambleton and Richmondshire in Yorkshire—had progressed towards implementing the standards set out in the national service framework for coronary heart disease, published in March 2000 ( BMJ 2000;320: 665). The framework set out 12 standards for preventing, diagnosing, and treating coronary heart disease, to be met by 2010.
Researchers from two independent bodies, the Commission for Health Improvement and the Audit Commission, assessed progress by visiting the four areas to evaluate relevant services. They also reviewed a range of information from different sources collected by the relevant hospital and general practice authorities, including routine data such as hospital admissions and waiting times, and surveys of patients.
Results of the reviews showed that the greatest progress related to clinical care of patients with CHD. They showed a reduction in average waiting times and improved access to specialist coronary care services, in particular to angioplasty and coronary artery bypass grafts. In Croydon, waiting times for both these procedures had fallen, and the specialist heart hospital in the area, St George's Hospital, was on track to meet the March 2005 national target of having no one waiting more than three months.
Substantial new investment in CHD services in Hambleton and Richmondshire had resulted in South Tees Hospitals NHS Trust having one of the shortest waiting times for heart surgery in England. Waiting times for coronary artery bypass grafts and angioplasty had also fallen in Plymouth and West Suffolk, although they were still longer than the national average.
The time for administration of thrombolytics to patients with a myocardial infarction had also decreased. Mayday Hospital (Croydon) had performed better than the national average, with more than 85% of patients treated within 20 minutes of reaching hospital. All patients suitable for thrombolytics admitted to Friarage Hospital (Hambleton and Richmondshire) received them within 30 minutes of arrival. West Suffolk Hospital was more likely to give these drugs within 30 minutes of a patient arriving at hospital than the national average, while Derriford Hospital (Plymouth) had not yet achieved this target.(Susan Mayor)