• J Formos Med Assoc · Dec 2024

    Innovative project to improve the accessibility of advanced wound care among chronic wound patients in Yunlin County, Taiwan: "Fight Out to CARE".

    • Hui-Hsiu Chang, Wen-Chu Chiang, Chen-Shu Chang, Chau-Chen Torng, and Matthew Huei-Ming Ma.
    • Wound Healing Center, Department of Surgery, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; Division of Plastic and Reconstructive Surgery, Department of Surgery, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; Department of Industrial Engineering and Management, National Yunlin University of Science & Technology, Yunlin, Taiwan. Electronic address: huihsiu@gmail.com.
    • J Formos Med Assoc. 2024 Dec 9.

    AbstractYunlin County, Taiwan, faces healthcare challenges given its super-aged population, limited medical accessibility, and a rise in chronic wounds. To address these issues, we introduced the "Fight Out to CARE" project, dispatching wound nurses to patients' locations to perform Cleansing, Avoidance, Removal, and Enhancement (CARE) under tele-supervision from a plastic surgeon. The program was conducted weekly in 2018 and twice monthly in 2019 for 53 weeks. We included 189 patients with 349 wounds in 17 homes and 17 long-term care facilities across 11 towns. Pressure injuries (PIs) comprised 67% of all wounds, with 96% of PIs categorized as full-thickness (FTPIs), including Stage 3, Stage 4, and Unstageable. Overall, 174 wounds healed, with 43% of PIs and 41% of FTPIs healed; 37% of PIs healed within 12 weeks. This innovative approach improved accessibility to chronic wound care and demonstrates promising healing outcomes, providing a valuable reference for chronic wound care policy.Copyright © 2024 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

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