On podiatric surgery.

IF 2.2 3区 医学 Q1 ORTHOPEDICS
Steven R Edwards
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引用次数: 0

Abstract

Podiatric surgery is a registered specialty in Australia, supported by nationally accredited training programs and decades of safe, effective practice. Despite this, podiatric surgeons are excluded from public hospitals and government-funded services, eliminating their ability to contribute to high-demand areas of surgical care. This commentary explores systemic barriers to the integration of podiatric surgeons within the Australian health system. It draws on national regulatory frameworks, clinical audit data, and international comparisons including interprofessional agreements in the United Kingdom and United States, to examine how a well-trained but vastly underutilised specialist surgical workforce remains siloed outside public care. Structural reforms would allow podiatric surgeons to participate in multidisciplinary teams, reduce surgical waiting times, and support patients with complex foot and ankle conditions, especially those with conditions such as diabetic foot disease, that are known to deteriorate with time, and patients from marginalised and remote demographics. International examples show that enabling access and removing funding exclusions improve service equity, alleviate surgical bottlenecks, and bring Australia in line with global best practice.

关于足部外科。
足部外科是澳大利亚的注册专业,由国家认可的培训计划和数十年的安全,有效的实践支持。尽管如此,足部外科医生被排除在公立医院和政府资助的服务之外,使他们无法为高需求的外科护理领域做出贡献。这篇评论探讨了澳大利亚卫生系统内足外科医生整合的系统性障碍。它利用国家监管框架、临床审计数据和国际比较,包括英国和美国的跨专业协议,来检查训练有素但严重未得到充分利用的专科外科工作人员如何仍然被隔离在公共保健之外。结构改革将允许足外科医生参与多学科团队,减少手术等待时间,并支持患有复杂足部和踝关节疾病的患者,特别是患有糖尿病足病等已知会随着时间恶化的疾病的患者,以及来自边缘和偏远人口的患者。国际上的例子表明,允许获得和消除资金排斥可以改善服务公平性,缓解手术瓶颈,并使澳大利亚与全球最佳做法保持一致。
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来源期刊
CiteScore
4.50
自引率
10.30%
发文量
83
审稿时长
>12 weeks
期刊介绍: Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.
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