苏格兰重症监护服务的地理可达性。
Geographical access to critical care services in Scotland.
作者信息
Emerson Philip, Dodds Naomi, Green David R, Jansen Jan O
机构信息
Department of Intensive Care Medicine, Aberdeen Royal Infirmary, UK.
Department of Anaesthesia, Aberdeen Royal Infirmary, UK.
出版信息
J Intensive Care Soc. 2018 Feb;19(1):6-14. doi: 10.1177/1751143717714948. Epub 2017 Jul 13.
BACKGROUND
Critical illness requires specialist and timely management. The aim of this study was to create a geographic accessibility profile of the Scottish population to emergency departments and intensive care units.
METHODS
This was a descriptive, geographical analysis of population access to 'intermediate' and 'definitive' critical care services in Scotland. Access was defined by the number of people able to reach services within 45 to 60 min, by road and by helicopter. Access was analysed by health board, rurality and as a country using freely available geographically referenced population data.
RESULTS
Ninety-six percent of the population reside within a 45-min drive of the nearest intermediate critical care facility, and 94% of the population live within a 45-min ambulance drive time to the nearest intensive care unit. By helicopter, these figures were 95% and 91%, respectively. Some health boards had no access to definitive critical care services within 45 min via helicopter or road. Very remote small towns and very remote rural areas had poorer access than less remote and rural regions.
背景
危重病需要专科医生及时进行管理。本研究的目的是创建苏格兰人口到急诊科和重症监护病房的地理可达性概况。
方法
这是一项对苏格兰人口获得“中级”和“确定性”重症监护服务情况的描述性地理分析。可达性通过能够在45至60分钟内通过公路和直升机到达服务机构的人数来定义。利用免费提供的地理参考人口数据，按卫生委员会、农村地区以及整个国家分析可达性。
结果
96%的人口居住在距最近的中级重症监护设施45分钟车程内，94%的人口居住在距最近的重症监护病房45分钟救护车车程内。通过直升机，这些数字分别为95%和91%。一些卫生委员会无法在45分钟内通过直升机或公路获得确定性重症监护服务。非常偏远的小镇和非常偏远的农村地区的可达性比不太偏远的农村地区差。
Zotero 插件