Sefrin P, Kuhnigk H
Klinik und Poliklinik für Anästhesiologie, Universität Würzburg.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2006 Jan;41(1):2-8. doi: 10.1055/s-2006-924965.
The participation of emergency physicians guarantees the quality of a modern emergency medical service (EMS). Within the scope of cost savings in health-care system, it is questioned whether emergency medical services in the future can be managed without emergency physicians. Deficits of structure and qualitaty of the emergency physician service are raised objections. Recent studies have shown that preclinical care carried out by an emergency physician assure better results. An ongoing improvement in the quality of care should be achieved by the introduction of the new professional training for physicians "emergency medicine". In a direct comparison of two emergency medical services, one with emergency physicians, one only with paramedics it could be demonstrated that the integration of emergency physicians will increase the rate of patients, whose vital status could be improved by more than 20 %. The rate of patients discharged from hospital after cardiopulmonal resuscitation is 3 fold higher than in a rescue service without emergency physicians. However this improvement of quality of care by physicians is linked to higher financial charges. Another aspect supporting the obligatory employment of emergency physicians in Germany is the jurisdiction guaranteeing the right of the patient to receive advanced medical treatment only by (emergency) physicians.
急诊医生的参与保障了现代紧急医疗服务（EMS）的质量。在医疗保健系统节省成本的背景下，人们质疑未来的紧急医疗服务是否可以在没有急诊医生的情况下进行管理。有人对急诊医生服务的结构和质量缺陷提出了异议。最近的研究表明，由急诊医生进行的院前护理能确保更好的效果。通过引入针对医生的新专业培训“急诊医学”，应实现护理质量的持续提升。在对两种紧急医疗服务的直接比较中，一种有急诊医生，另一种只有护理人员，可以证明急诊医生的融入将提高患者的比例，其生命状况能够得到超过20%的改善。心肺复苏后出院的患者比例比没有急诊医生的救援服务高出3倍。然而，医生对护理质量的这种提升与更高的费用相关。支持在德国强制雇用急诊医生的另一个方面是司法管辖，它保障患者仅有权接受（急诊）医生的高级医疗治疗。
