加纳国家救护车服务:超过20年的容量和利用率变化
Ahmed N Zakariah1, Edmund Boateng1, Christiana Achena1
1National Ambulance Service, Ministry of Health, Accra, Ghana.
概括
加纳国家救护车服务 (NAS) 在全国范围内扩大,覆盖所有地区,改善紧急医疗服务的地理公平性. 财务挑战仍然存在,影响了应急情况的利用率.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 加强卫生系统 加强卫生系统
背景情况:
- 在许多非洲国家,紧急医疗服务 (EMS) 是不发达的.
- 加纳国家救护车服务 (NAS) 经历了20年的扩张.
- 专注于在以前未经开拓的偏远地区服务.
研究的目的:
- 记录了加纳20年来NAS扩张的成就.
- 识别NAS面临的挑战.
- 评估向偏远,服务不足的地区提供服务.
主要方法:
- 分析NAS从2004年到2023年收集的常规数据.
- 包括结构能力 (站点,救护车,人员) 和利用 (患者,人口统计,条件,地点).
- 加纳16个地区的人均容量和利用率指标的比较.
主要成果:
- NAS从64名急救医生和9辆救护车增长到3473名急救医生和356辆救护车.
- 从3个城市扩大覆盖范围到所有261个地区.
- 患者运输每年从205个增加到38,393个;尽管有金融中断,但实现了地理公平.
结论:
- 加纳的NAS成功地在全国范围内扩张,实现了显著的地理股权.
- 可持续性得到了公司内部紧急医疗技术人员 (EMT) 培训学校的支持.
- 关键的挑战包括确保金融稳定和增加现场紧急情况的利用,超出设施间的转移.
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