Department of Emergency Medicine, Beth Israel Deaconess Medical Center and the Harvard Medical School, Boston, MA, USA.
Ann Emerg Med. 2012 Jul;60(1):35-44.e3. doi: 10.1016/j.annemergmed.2011.10.018. Epub 2012 Feb 11.
The recent adoption of World Health Assembly Resolution 60.22, titled "Health Systems: Emergency Care Systems," has established an important health care policy tool for improving emergency care access and availability globally. The resolution highlights the role that strengthened emergency care systems can play in reducing the increasing burden of disease from acute illness and injury in populations across the socioeconomic spectrum and calls on governments and the World Health Organization to take specific and concrete actions to make this happen. This resolution constitutes recognition by the World Health Assembly of the growing public health role of emergency care systems and is the highest level of international attention ever devoted to emergency care systems worldwide. Emergency care systems for secondary prevention of acute illnesses and injury remain inadequately developed in many low- and middle-income countries, despite evidence that basic strategies for improving emergency care systems can reduce preventable mortality and morbidity and can in many cases also be cost-effective. Emergency care providers and their professional organizations have used their comprehensive expertise to strengthen emergency care systems worldwide through the development of tools for emergency medicine education, systems assessment, quality improvement, and evidence-based clinical practice. World Health Assembly 60.22 represents a unique opportunity for emergency care providers and other advocates for improved emergency care to engage with national and local health care officials and policymakers, as well as with the World Health Organization, and leverage the expertise within the international emergency medicine community to make substantial improvements in emergency care delivery in places where it is most needed.
最近通过的世界卫生大会第 60.22 号决议,题为“卫生系统:紧急护理系统”,为改善全球紧急护理的可及性和可获得性提供了一个重要的卫生保健政策工具。该决议强调了加强紧急护理系统在减少各社会经济阶层人群中因急性疾病和伤害而导致的疾病负担方面的作用,并呼吁各国政府和世界卫生组织采取具体和具体的行动来实现这一目标。这项决议构成了世界卫生大会对紧急护理系统日益增长的公共卫生作用的认可,是全球范围内对紧急护理系统的最高级别的国际关注。尽管有证据表明,改善紧急护理系统的基本策略可以降低可预防的死亡率和发病率,而且在许多情况下还具有成本效益,但在许多中低收入国家,二级预防急性疾病和伤害的紧急护理系统仍然不够发达。紧急护理提供者及其专业组织通过开发急诊医学教育、系统评估、质量改进和基于证据的临床实践工具,利用其全面的专业知识,在全球范围内加强了紧急护理系统。世界卫生大会第 60.22 号决议为紧急护理提供者和其他倡导改善紧急护理的人提供了一个独特的机会,使他们能够与国家和地方卫生保健官员和政策制定者以及世界卫生组织接触,并利用国际急诊医学界的专业知识,在最需要的地方大力改善紧急护理服务。