低收入和中等收入国家的紧急医疗服务 (EMS) 基础设施开发和运营:正式的,专业驱动的 (Tier-2) 系统
Jared H Sun1, Shaheem de Vries2, Nee-Kofi Mould-Millman3
1Department of Emergency Medicine, Los Angeles General Medical Center, University of Southern California, CA.
Surgery
|April 10, 2024
概括
在低收入和中等收入国家开发强大的二级紧急医疗服务对于降低死亡率至关重要. 挑战包括资金,劳动力短缺和局部适应,需要创新解决方案和全球合作.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 医疗保健系统 医疗保健系统
背景情况:
- 世界卫生组织主张在低收入和中等收入国家 (LMICs) 建立双层紧急护理系统.
- 一级涉及社区的急救人员,而二级专注于具有专门资源的正式紧急医疗服务 (EMS).
- 在全球范围内,Tier-2系统对于减少因紧急情况造成的死亡率和残疾至关重要.
研究的目的:
- 检查目前的状态,挑战和发展和运营LMICs的Tier-2 EMS的机会.
- 突出现有的二级系统的有限覆盖范围和资源.
- 确定克服实施障碍和改善医疗保健结果的战略.
主要方法:
- 审查LMICs现有的Tier-2 EMS开发和运营框架.
- 分析挑战,包括全球意识,财务限制,监管问题,文化因素和劳动力短缺等.
- 探索诸如本地化适应,社区伙伴关系,政策调整和创新融资等机会.
主要成果:
- 显著的挑战阻碍了LMICs的Tier-2 EMS实施,包括资金,设备,技术和劳动力的不足.
- 现有系统往往受到有限的覆盖范围和资源不足的影响.
- 局部适应和融入国家医疗保健系统对于成功至关重要.
结论:
- 通过创新的金融模式 (例如,公私伙伴关系) 和劳动力增强来应对挑战至关重要.
- 社区伙伴关系和与国家政策的协调是可持续的Tier-2 EMS的关键.
- 合作网络和分享最佳实践可以加速LMICs的Tier-2系统开发.
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