부산대학교 도서관

Fracture treatment has seen much progress during the last decades, as has plastic reconstructive surgery. New flaps were found for closing soft tissue defects, and we can now say that there is nearly no defect that cannot be closed. But the combination of these perfectly fitting medical solutions is not perfect at all. Every patient with a complex situation involving infection needs an individualized plan of care right from the beginning, and this should always be developed via a multidisciplinary approach. However, this concept is still an exception in our country. The DRG system is counterproductive for instance, in most cases the payment for amputation is better than for reconstruction. In addition, there is still a lack of knowledge among doctors making referrals to those in other disciplines, and the gap is increasing more and more specialization is sometimes a poor concept because at the end, there is nobody who is familiar with the whole problem. Moreover, difficult working conditions, computer work, and documentation take physicians further and further away from the patient. The goal of this paper is to raise interest in this situation and to offer solutions to my colleagues in a very simple way.