Razzak Junaid, Beecroft Blythe, Brown Jeremy, Hargarten Stephen, Anand Nalini
Department of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Center for Global Health Studies, John E Fogarty International Center, Bethesda, Maryland, USA.
BMJ Glob Health. 2019 Jul 29;4(Suppl 6):e001486. doi: 10.1136/bmjgh-2019-001486. eCollection 2019.
Quality emergency medical care is critical to reducing the burden of disease in low-income and middle-income countries (LMICs) and protecting the health of populations during disasters and epidemics. However, conducting research in emergency care settings in LMIC settings entails unique methodological and operational challenges. Therefore, new approaches and strategies that address these challenges need to be developed and will require increased attention from scientists, academic institutions and the global health research funding community. Research priorities to address emergency care in LMICs have also not been well defined, resulting in limited research output from LMICs. This manuscript frames the efforts of four multidisciplinary working groups, which were established under the auspices of the Fogarty International Center as part of the Collaborative on Enhancing Emergency Care Research in LMICs and serves as an introduction to this series, which identifies challenges and solutions in the context of emergency care research in LMICs. The objective of this introductory paper is to articulate the need for emergency care research in LMICs and underscore its future promise. We present public health arguments for greater investment in emergency care research, identify barriers to develop and conduct research, and present a list of research priorities for community organizations, academic institutions and funding agencies. We conclude that advances in emergency care research will be critical to achieve national and global health targets, such as the Sustainable Development Goals (SDGs), and to ensure that evidence informs how such research is best conducted.
优质的紧急医疗护理对于减轻低收入和中等收入国家（LMICs）的疾病负担以及在灾害和流行病期间保护民众健康至关重要。然而，在低收入和中等收入国家的紧急护理环境中开展研究面临独特的方法学和操作挑战。因此，需要开发应对这些挑战的新方法和策略，这将需要科学家、学术机构和全球卫生研究资助界给予更多关注。针对低收入和中等收入国家紧急护理的研究重点也尚未得到明确界定，导致低收入和中等收入国家的研究产出有限。本手稿阐述了四个多学科工作组的工作，这些工作组是在福格蒂国际中心的支持下成立的，作为加强低收入和中等收入国家紧急护理研究协作的一部分，并作为本系列的引言，该系列确定了低收入和中等收入国家紧急护理研究背景下的挑战和解决方案。这篇引言性论文的目的是阐明在低收入和中等收入国家进行紧急护理研究的必要性，并强调其未来前景。我们提出加大对紧急护理研究投资的公共卫生理由，确定开展研究的障碍，并列出社区组织、学术机构和资助机构的研究重点清单。我们得出结论，紧急护理研究的进展对于实现国家和全球卫生目标（如可持续发展目标）以及确保证据为如何最佳开展此类研究提供指导至关重要。
