通过质量管理系统实现EMS护理和患者结果的公平:立场陈述
Andra M Farcas1, Remle P Crowe2, Jamie Kennel3
1Department of Emergency Medicine, School of Medicine, University of Colorado, Aurora, Colorado.
Prehospital emergency care
|May 10, 2024
概括
紧急医疗服务 (EMS) 必须优先考虑健康公平,以减少医疗护理获取和结果的系统差异. 实施改进科学框架和社区参与是实现公平患者治疗和安全的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健的不平等 医疗保健的不平等
- 紧急医疗服务 紧急医疗服务
背景情况:
- 卫生不平等,定义为医疗获取,治疗和结果的系统和不公正差异,在人口中持续存在.
- 紧急医疗服务 (EMS) 展示了基于与歧视和偏见有关的特征的护理质量的不平等现象.
- 考虑到EMS在更广泛的医疗保健系统中的重要作用,解决这些不平等问题至关重要.
研究的目的:
- 为紧急医疗服务 (EMS) 系统和机构提出建议,以减少健康不平等.
- 倡导将健康公平纳入EMS运营中的战略优先事项.
- 促进基于证据的,高质量的护理服务,确保为所有患者提供公平的结果.
主要方法:
- 这些建议植根于改进科学的原则.
- 重点是将公平性评估纳入质量管理流程.
- 建议患者和社区利益相关者参与数据治理.
主要成果:
- 在所有组织层面上,EMS系统应采取对健康公平的战略承诺.
- 临床和安全质量措施必须通过公平的镜头来评估和监测.
- 数据结构和评估需要加强,以促进公平性分析和改进.
结论:
- 为了实现EMS护理提供中的公平,需要采用多方面的方法,包括战略优先级和强大的数据分析.
- 解决偏见和确保尊重患者护理是减少差异的基础.
- 持续改进科学框架为EMS机构提供了一条途径,以系统地提高健康公平.
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