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热浪期间导致紧急医疗过度负荷的因素:德尔菲的一项研究
Matteo Paganini1,2,3, Hamdi Lamine2,4, Francesco Della Corte2,3
1Department of Biomedical Sciences, University of Padova, Padova, Italy.
PloS one
|December 20, 2023
概括
热浪使紧急护理受到压力. 专家们确定了超载的关键因素,重点关注患者的意见,初级保健和资源,以提高极端高温事件期间的医疗复原力.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 灾难医学 灾难医学
- 气候学 气候学 气候学
背景情况:
- 极端高温事件或热浪对公众健康构成重大风险.
- 热浪频率和强度的增加与对紧急医疗服务的需求增加有关.
- 了解导致热浪期间紧急护理过载的因素对于准备至关重要.
研究的目的:
- 确定在热浪期间导致紧急医疗保健系统过载的关键因素.
- 在专家之间就加强紧急护理弹性干预措施建立共识.
- 为减轻与气候变化相关的健康灾害风险的战略提供信息.
主要方法:
- 在线Delphi研究涉及15名紧急医疗,灾难医疗和公共卫生专家.
- 三轮的专家共识建设,从一个开放式问题开始,然后以7分级评级声明.
- 共识定义为等级陈述的标准偏差≤1.0.
主要成果:
- 产生了31个初步声明,专家们就18个关键因素达成共识.
- 商定的因素主要集中在患者处理输入,利益相关者识别和初级保健的作用上.
- 专家强调需要专门的资源和增加床位容量来管理患者的吞吐量和输出.
结论:
- 这些发现为开发和测试干预措施提供了基础,以加强在热浪期间的紧急医疗保健弹性.
- 解决已识别的因素可以帮助减少气候变化引起的极端天气事件带来的灾难风险.
- 干预措施应针对医疗保健系统内的患者接收流程,初级保健协调和资源分配.
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