流行病期间的紧急医疗服务干预和经验:范围审查
Despina Laparidou1, Ffion Curtis2, Nimali Wijegoonewardene1,3
1Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Brayford Pool, Lincoln, United Kingdom.
PloS one
|August 1, 2024
概括
紧急医疗服务 (EMS) 人员在流行病期间面临重大挑战,但仍然致力于工作. 他们的经验和建议对于改善未来的流行病应对和准备工作至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- COVID-19给医疗保健系统带来了压力,特别是紧急医疗服务 (EMS).
- 之前的审查中没有综合证据表明EMS干预措施或流行病期间的经验.
- 本范围审查解决了需要识别和提出关于EMS流行病干预措施的证据.
研究的目的:
- 识别和介绍EMS流行病干预措施的已发表证据.
- 探索疫情期间EMS角色的定量和定性数据.
- 了解EMS流行病干预措施如何转化为实践.
主要方法:
- 搜索了六个电子数据库 (创建至2022年7月),补充了互联网和引用跟踪.
- 进行了定量研究的叙事综合,按目标和干预类型进行了组织.
- 根据目标和发现进行了基于定性研究的专题叙事综合.
主要成果:
- 包括从22599个初始引用中90项研究.
- 定量综合揭示了EMS流行病准备和干预措施的七个主题.
- 定性综合确定了关于EMS工人的经验,需求和最佳实践建议的五个主题.
结论:
- 尽管存在安全问题和挑战,但EMS人员表现出了在流行病期间工作的意愿.
- 关键的挑战包括知识差距,培训需求,个人防护设备 (PPE) 缺乏以及协议变化.
- 参与者的建议为加强当前的流行病应对和未来的准备提供了洞察力.
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