灾害中的院前紧急医疗服务挑战：一项定性研究
Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study.
作者信息
Sorani Mohamad, Tourani Sogand, Khankeh Hamid Reza, Panahi Sirous
机构信息
Department of Health in Emergencies and Disasters, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Emerg (Tehran). 2018;6(1):e26. Epub 2018 Apr 26.
INTRODUCTION
Prehospital Emergency Medical Care (EMC) is a critical service in disaster management. The aim of this study was to explore the challenges of prehospital Emergency Medical Services (EMS) during disaster response in Iran.
METHODS
A qualitative study was conducted from April 2015 to March 2017. Data were collected through in-depth, semi-structured interviews with 23 experienced individuals in the field of disaster that were selected using purposeful sampling. Data were analyzed using content analysis approach.
RESULTS
Fifteen sub-themes and the following six themes emerged in the analysis: challenges related to people, challenges related to infrastructure, challenges related to information management systems, challenges related to staff, challenges related to managerial issues and challenges related to medical care.
CONCLUSIONS
Iran's prehospital EMS has been chaotic in past disasters. Improvement of this process needs infrastructure reform, planning, staff training and public education.
引言
院前紧急医疗护理（EMC）是灾害管理中的一项关键服务。本研究的目的是探讨伊朗在灾害应对期间院前紧急医疗服务（EMS）所面临的挑战。
方法
于2015年4月至2017年3月进行了一项定性研究。通过对23名灾害领域经验丰富的人员进行深入的半结构化访谈收集数据，这些人员采用目的抽样法选取。使用内容分析法对数据进行分析。
结果
分析中出现了15个子主题以及以下六个主题：与人相关的挑战、与基础设施相关的挑战、与信息管理系统相关的挑战、与工作人员相关的挑战、与管理问题相关的挑战以及与医疗护理相关的挑战。
结论
伊朗的院前EMS在过去的灾害中一直处于混乱状态。改善这一过程需要基础设施改革、规划、人员培训和公众教育。
Zotero 插件