地理空间评估以改善治疗时间 (GAITT)
Matthew M McDonough1, Patrick J Benoit2, Molly P Jarman3
1School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
The Journal of surgical research
|August 9, 2023
概括
将沃尔特·里德国家军事医疗中心 (WRNMMC) 加入马里兰州的创伤系统可以改善更多人及时获得护理. 本次地理信息系统 (GIS) 分析显示,在不同的时间和人口统计学方面都有好处.
科学领域:
- 创伤系统优化创伤系统优化
- 医疗保健中的地理信息系统 (GIS)
- 紧急医疗服务的可访问性 医疗服务的可访问性
背景情况:
- 创伤系统旨在缩短治疗时间,以获得更好的患者结果.
- 马里兰州现有的创伤系统依赖于约翰霍普金斯郊区医院和马里兰大学首都地区医疗中心.
- 地理信息系统 (GIS) 提供了一种分析和优化紧急服务覆盖范围的方法.
研究的目的:
- 评估将沃尔特·里德国家军事医疗中心 (WRNMMC) 纳入马里兰创伤系统的潜在影响.
- 使用GIS模拟及时创伤接入覆盖的变化.
- 确定受益于扩大创伤系统访问的人口群体.
主要方法:
- 利用ArcGIS在线创建和分析创伤中心的流域.
- 在各种日常和每周的交通条件下,模拟了5到60分钟的响应时间.
- 丰富的空间数据与人口和社会经济变量来评估人口覆盖率.
主要成果:
- 纳入WRNMMC显示了平均人口覆盖率的增加,特别是在访问0-15分钟内.
- 覆盖范围的改进在不同时间和不同星期天都是一致的.
- 所有社会经济和多样性子组都在及时获得创伤机会方面取得了进展.
结论:
- 将WRNMMC整合到马里兰创伤系统中,预计将提高对时间敏感创伤护理的人口覆盖率.
- WRNMMC可以提供连续或可适应的覆盖,潜在地缓解交通拥堵或民用医院的转移状态等问题.
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