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伊朗的道路交通伤害:流行病学与急救服务的公平分配

Road Traffic Injuries in Iran: Epidemiology and Equitable Distribution of Emergency Services.

作者信息

Kolivand Pirhossein, Saberian Peyman, Azari Samad, Namdar Peyman, Karimi Fereshte, Parvari Arash, Ehsanzadeh Seyed Jafar, Raei Behzad, Raadabadi Mehdi, Rajaie Soheila

机构信息

Department of Health Economics, Faculty of Medicine, Shahed University, Tehran, Iran.

Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Bull Emerg Trauma. 2024;12(4):177-184. doi: 10.30476/beat.2024.103102.1518.

Abstract

OBJECTIVE

This study emphasized the importance of providing equal access to rescue and emergency services for all individuals involved in road accidents, regardless of their geographical location or socioeconomic status.

METHODS

This study involved gathering data on the number of Iranian Red Crescent Society (IRCS) and Emergency Medical Services (EMS) stations in 31 provinces of Iran. It entailed calculating the Gini coefficient and creating the Lorenz curve to assess the station distribution. To present road traffic injuries (RTIs) mortality, Disability-Adjusted Life Years (DALYs), and prevalence in Iran from 1990 to 2019, the Global Burden of Disease (GBD) 2019 estimates were utilized.

RESULTS

The findings revealed that Tehran, Khorasan Razavi, Isfahan, Fars, and Khuzestan provinces were equipped with the most stations; whereas, Ilam, Semnan, and Kohgiluyeh and Boyer Ahmad had the fewest. The Gini coefficient for the distribution of RCS and EMS stations was found to be 0.23 and 0.38, respectively. Additionally, the study examined the prevalence, DALYs, and mortalities caused by road injuries across the 31 provinces and presented the findings in the form of a geographical representation.

CONCLUSION

The results of this study highlighted the importance of ongoing efforts to ensure the equitable allocation of RCS and emergency services, with a particular emphasis on road accidents and disaster management scenarios.

摘要

目的

本研究强调了为所有道路交通事故受害者提供平等的救援和应急服务的重要性,无论其地理位置或社会经济地位如何。

方法

本研究收集了伊朗31个省份的伊朗红新月会(IRCS)和紧急医疗服务(EMS)站点数量的数据。计算基尼系数并绘制洛伦兹曲线以评估站点分布情况。为呈现1990年至2019年伊朗道路交通伤害(RTIs)的死亡率、伤残调整生命年(DALYs)和患病率,采用了《2019年全球疾病负担》(GBD 2019)的估计数据。

结果

研究结果显示,德黑兰、霍拉桑拉扎维、伊斯法罕、法尔斯和胡齐斯坦省的站点配备最多;而伊拉姆、塞姆南、科吉卢耶和博耶艾哈迈德的站点最少。发现红新月会和紧急医疗服务站点分布的基尼系数分别为0.23和0.38。此外,该研究还考察了31个省份道路伤害导致的患病率、伤残调整生命年和死亡率,并以地理图表的形式呈现了研究结果。

结论

本研究结果凸显了持续努力确保红新月会和应急服务公平分配的重要性,尤其侧重于道路事故和灾害管理场景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722c/11651247/bb61efc32bba/bet-12-177-g001.jpg

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