Department of Emergency Medicine, Harvard University School of Medicine/Beth Israel Deaconess Medical Center, Boston, MA.
Department of Emergency Medicine, the University of South Alabama, Mobile, AL.
Ann Emerg Med. 2023 May;81(5):584-591. doi: 10.1016/j.annemergmed.2022.06.015. Epub 2022 Aug 6.
The emergency department serves as a critical access point to the health system for many patients, especially those with limited resources. Screening for disease or risk factors for poor health outcomes can potentially improve both individual and population health. Screening initiatives should focus on evidence-based strategies and take local epidemiology and ED capacity into consideration. Initiatives should strive for community support and transparency with patients. They should also be financially sustainable for those involved. Screening can identify patients who can then be counseled, provided with prophylaxis or treatment, or referred to external resources. Through screening and intervention, the ED can serve as a vital contributor to individual and population health.
急诊科是许多患者,尤其是资源有限的患者获得医疗系统服务的关键途径。对疾病或不良健康结果风险因素进行筛查可能会改善个人和人群的健康状况。筛查措施应侧重于基于证据的策略,并考虑当地的流行病学和急诊科的能力。措施应努力争取社区的支持和患者的透明度。对于相关人员来说,措施还应具有财务可持续性。通过筛查和干预,可以识别出需要接受咨询、预防或治疗的患者,或需要转介到外部资源的患者。通过筛查和干预,急诊科可以成为个人和人群健康的重要贡献者。