边境地区的紧急医疗服务在移民紧急护理
Christine Crudo Blackburn1,2, Mayra Rico2, Lauren Knight3
1Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station.
JAMA network open
|April 3, 2025
概括
边境移民压迫紧急医疗服务 (EMS) 的临床医生,导致压倒性的电话和伤害. 增加联邦资金对于支持这些前线工作者和解决移民复杂的健康需求至关重要.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 移民社会学 移民社会学
背景情况:
- 对美国南部边境的以安全为中心的方法忽视了对当地紧急医疗服务 (EMS) 临床医生的重大影响.
- 移民的健康需求和安全基础设施的需求给EMS资源和人员带来了压力.
研究的目的:
- 探索EMS临床医生对移民对其工作的影响的看法和经验.
- 了解移民如何影响EMS在边境社区日常运营和面临的挑战.
主要方法:
- 进行了一项定性探索性研究,对67名消防部门的EMS临床医生进行了深入,一对一的采访.
- 面试于2024年6月23日至27日在亚利桑那州三个边境社区进行,参与者通过消防部门领导层招募.
- 用诱导性,潜伏性编码进行主题分析来分析采访数据.
主要成果:
- 报道称,EMS临床医生响应复杂的电话,经历有限的停机时间,并在高边境过境期间面临类似大规模伤亡的场景.
- 参与者认为他们当地的EMS系统是紧张的,有时是压倒性的,强调需要增加联邦财政支持.
- 大多数参与者是男性 (93%),反映了该地区EMS专业人员的人口统计数据,经验水平均分布.
结论:
- 移民对边境地区的EMS临床医生有着复杂的,多维的影响,与仅仅安全的观点相反.
- 威政策没有减少过境,而是导致更危险的路线,增加了移民受伤和死亡人数,从而使EMS受到压力.
- 目前对边境地区EMS临床医生的压力是不可持续的,需要增加联邦资金来支持他们的关键服务并解决移民健康问题.
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