"它压倒了系统":检查南德克萨斯州边境社区的EMS提供
Christine Crudo Blackburn1, Miryoung Lee2, Mayra Rico3
1Department of Health Policy and Management, Texas A&M University, College Station, Texas, USA ccblackburn@tamu.edu.
BMJ open
|January 14, 2025
概括
美国南部边境社区的紧急医疗服务 (EMS) 面临压力,因为它为联邦执法部门提供医疗支持. 这种缺乏综合医疗能力的情况加重了当地EMS的负担,并影响了人员,突出了边境环境中独特的挑战.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 社会学 社会学 社会学
背景情况:
- 边境社区为医疗保健提供带来了独特的挑战.
- 在边境地区运营的联邦执法机构可能具有有限的有机医疗能力.
- 美国南部边境的运营环境影响了紧急医疗服务的需求和提供.
研究的目的:
- 检查边境社区特征对紧急医疗服务 (EMS) 人员的影响.
- 了解与联邦机构的互动如何影响这些独特环境中的EMS提供商.
主要方法:
- 使用了定性现象学方法.
- 面对面,一对一的采访采用半结构化方法进行.
- 来自德克萨斯州和墨西哥边境城市的消防部门的28名EMS提供者参加了这次活动.
主要成果:
- 由于该机构的医疗能力有限,EMS人员经常为边境巡逻队提供医疗支持.
- 海关和边境保护局 (CBP) 使用本地EMS耗费资源,并与CBP内部医疗培训不足有关.
- 联邦执法部门和国际边界的存在创造了一个独特的工作环境,影响EMS人员.
结论:
- 联邦边境机构缺乏医疗支持,这给当地EMS资源造成了巨大的负担.
- 这种依赖导致了压力和对边境社区EMS人员的负面影响.
- 解决这些差距对于边境地区可持续的EMS运营至关重要.
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