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地震中儿科患者医疗需求与供给的失衡。

The Imbalance in Medical Demand and Supply for Pediatric Victims in an Earthquake.

机构信息

Department of Emergency Medicine, Yokohama City University, Graduate School of Medicine, Yokohama, Japan.

Department of Acute Medicine, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan.

出版信息

Disaster Med Public Health Prep. 2019 Aug;13(4):672-676. doi: 10.1017/dmp.2018.127. Epub 2018 Dec 21.

DOI:10.1017/dmp.2018.127
PMID:30575495
Abstract

OBJECTIVES

We quantified an absolute imbalance of the medical risks and the support needs for children at each disaster-based hospital in Kanagawa immediately following the occurrence of a large earthquake by using the risk resource ratio (RRR) and need for medical resources (NMR).

METHODS

The RRR and NMR of 33 disaster-based hospitals were estimated through dividing the estimated number of pediatric victims by the number of critically patients. We calculated the ratio of the NMR of each hospital.

RESULTS

The total number of pediatric victims in Kanagawa was estimated at 8,391. The total number of vacant beds for pediatric victims was 352. The median RRR and NMR of the total number of pediatric victims were 27 and 224. The median RRR and NMR of the number of critically ill pediatric patients were 27 and 12.

CONCLUSIONS

The absolute imbalance of the RRR and NMR for children in Kanagawa was quantified. This suggests that we might embark on preparedness strategies for children in advance. (Disaster Med Public Health Preparedness. 2018;13:672-676).

摘要

目的

利用风险资源比(RRR)和医疗资源需求(NMR),在大规模地震发生后立即量化神奈川县各灾害医院的儿童医疗风险和支持需求的绝对失衡情况。

方法

通过将估计的儿科受害者人数除以危重症患者人数,估算 33 家灾害医院的 RRR 和 NMR。我们计算了每家医院的 NMR 比值。

结果

神奈川县儿科受害者总数估计为 8391 人。儿科受害者的空床总数为 352 张。儿科受害者总数的中位数 RRR 和 NMR 分别为 27 和 224。危重症儿科患者人数的中位数 RRR 和 NMR 分别为 27 和 12。

结论

量化了神奈川县儿童 RRR 和 NMR 的绝对失衡情况。这表明我们可能需要提前为儿童制定准备策略。(灾难医学与公共卫生准备。2018;13:672-676)。

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