精密紧急医疗在医疗保健提供和获取:框架开发和研究重点
Rama A Salhi1, Keith E Kocher2, Margaret Greenwood-Ericksen3
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
精确紧急医疗 (EM) 使用大数据和技术来改善患者护理的准入和结果. 本研究概述了一个框架和研究议程,用于将精确的EM整合到医疗保健提供系统中.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 精确紧急医疗 (EM) 提供了改善医疗保健获取,提供和患者结果的机会.
- 学术紧急医疗协会 (SAEM) 协商一致会议启动了一项审查,以了解精确的EM与医疗保健提供和获取的交叉点.
研究的目的:
- 描述与医疗保健提供和获取相关的精密EM的当前知识.
- 开发精密EM的概念模型和研究议程.
主要方法:
- 使用主要数据库 (Ovid MEDLINE,Embase.com,Cochrane CENTRAL) 和clinicalTrials.gov.gov进行了一次快速文献审查.
- 在2023年1月进行了搜索,确定了核心领域和医疗保健提供和获取精确EM的框架.
主要成果:
- 在815项查后,包括21项研究,确定了关键领域:加快医院前护理,适当的护理水平,个性化的ED护理,后ED护理替代方案,系统准备预测和公平的护理系统.
- 基于这些领域,建立了一个研究议程,其中包括四个优先问题.
结论:
- 精密EM利用医疗保健系统中的数据驱动策略来改善紧急护理的准入.
- 这种方法通过数据和技术推进护理系统,优先考虑患者,社区和公平.
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