低收入和中等收入国家紧急医疗服务发展的未来方向
Peter G Delaney1, Jon Moussally2, Benjamin W Wachira3
1LFR International, Makeni, Sierra Leone; Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH.
Surgery
|April 10, 2024
概括
低收入国家缺乏医院前护理是全球卫生优先事项. 利用移动技术和训练有素的急救人员可以创造可持续的,以社区为基础的紧急医疗服务,改善公共卫生,减少可预防的死亡.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 紧急医疗 紧急医疗
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,获得医院前紧急护理的机会非常有限.
- 现有的未经培训的个人非正式网络提供了必要的急救和运输.
- 正式化非专业人员的急救网络至关重要,但已经落后于日益增长的需求.
研究的目的:
- 探索在LMICs中开发可持续的医院前紧急医疗服务的战略.
- 突出移动技术在协调急救人员方面的潜力.
- 强调非专业的急救人员在改善伤害监测和预防方面的作用.
主要方法:
- 对紧急医疗服务 (EMS) 发展现有建议的审查.
- 分析移动通信技术对调度和协调的影响.
- 评估非专业的急救人员在数据收集和监控中的作用.
主要成果:
- 移动技术为派遣和协调急救人员提供了具有成本效益的解决方案.
- 简单的第一响应者可以增强监测数据,告知有针对性的预防策略.
- 社区参与和利益相关者参与对于可持续的EMS发展至关重要.
结论:
- 使用移动技术和训练有素的急救人员的自下而上的战略,可以在LMICs中创建可访问和高效的EMS.
- 投资于非专业的急救网络可以改善公共卫生结果并降低死亡率.
- 定制的,以社区为基础的方法对于在资源有限的环境中解决紧急护理负担至关重要.
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