紧急医疗服务和公共卫生对替代应急响应模式的观点
Alison K Miller1, Christopher B Gage, Matthew Parrish
1Author Affiliations: Neurological Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA (Ms Miller); National Registry of Emergency Medical Technicians, Columbus, Ohio, USA (Messrs Gage, Powell, and Panchal); Division of Epidemiology, The Ohio State University College of Public Health, Columbus, Ohio, USA (Messrs Gage and Panchal); The City of Columbus Division of Fire, Columbus, Ohio, USA (Messrs Parrish and Toliver); and Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA (Mr Ulintz, Ms Frey, and Mr Panchal).
应急人员和公共卫生工作者在紧急响应中看到不断变化的角色. 虽然支持新的福利模式,但它们需要更多的资源来实施.
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:
- 紧急情况不断变化需要新的应对策略.
- 前线工作人员和合作伙伴的观点至关重要,但未被评估.
研究的目的:
- 确定一线工作人员在应急响应中演变的角色的观点.
- 为开发替代应急响应模型提供信息,包括跨学科合作伙伴关系.
主要方法:
- 电子调查分发给紧急医疗服务 (EMS) 临床医生和中西部县的公共卫生工作者.
- 调查评估了在紧急预防,应对和恢复,跨学科合作以及资源需求方面的感知角色.
- 945名EMS临床医生和58名公共卫生工作者参加了这次活动.
主要成果:
- 在即时911紧急情况中的角色方面,EMS临床医生 (97%) 和公共卫生工作者 (42%) 的高度一致.
- 对心理健康 (EMS:87%,公共卫生:52%) 和暴力紧急情况 (EMS:87%,公共卫生:30%) 的角色的看法不同.
- 84%的人支持多学科模式,但只有35%的人认为他们的机构有足够的资源进行变革.
结论:
- 在EMS临床医生和公共卫生工作者之间,在感知到的角色和实践范围之间存在显著的差异.
- 强烈支持替代应急响应模式,对福祉和工作满意度有潜在的好处.
- 为了成功开发和实施新的应急响应模型,需要额外的资源.
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