Lima Maria Luiza Carvalho de, Souza Edinilsa Ramos de, Deslandes Suely Ferreira, Kelly Alice, Cabral Amanda Priscila de Santana
Federal University of Pernambuco, Recife, Brazil.
Rev Salud Publica (Bogota). 2010 Feb;12(1):27-37. doi: 10.1590/s0124-00642010000100003.
This study was aimed at carrying out a situational diagnosis of the prehospital healthcare network for victims of accidents and violence in Recife, Brazil.
National policy for reducing accident- and violence-related morbidity and mortality was used as reference. Questionnaires were applied and half-structured interviews conducted with managers and healthworkers from thirteen prehospital fixed units and one mobile unit.
Children, adolescents and females predominantly sought attention; there were few preventative actions, little social coverage and deficient referral, counterreferral and communication with other sectors. A lack of equipment and basic materials, insufficient multidisciplinary teams and the need for ongoing training were also observed. Notifying and recording accidents and violence also lacked precision; ensuring that these were done properly would allow track to be kept of them as well as developing a proper assessment and action plan. However, important state, city and academic initiatives towards preventing and reducing morbidity and mortality caused by accidents and violence in particular municipalities were identified.
Taking national policy for reducing accident- and violence-related morbidity and mortality as a point of reference, then it can be seen that some advances have been made in the city of Recife; however, many shortcomings can still be seen in terms of introducing such policy.
本研究旨在对巴西累西腓事故和暴力受害者的院前医疗网络进行现状诊断。
以国家减少事故和暴力相关发病率和死亡率的政策为参考。对来自13个院前固定单位和1个移动单位的管理人员和医护人员进行问卷调查和半结构化访谈。
儿童、青少年和女性是主要寻求医疗救助的群体；预防措施很少，社会覆盖面小，转诊、反向转诊以及与其他部门的沟通存在不足。还观察到设备和基本物资短缺、多学科团队不足以及需要持续培训。事故和暴力的报告和记录也缺乏准确性；确保正确进行这些工作将有助于跟踪这些事件，并制定适当的评估和行动计划。然而，已确定了州、市和学术机构在特定城市预防和降低事故和暴力导致的发病率和死亡率方面的重要举措。
以国家减少事故和暴力相关发病率和死亡率的政策为参照，可以看出累西腓市已取得一些进展；然而，在推行该政策方面仍存在许多不足之处。
