Bornstein Sarah, Mitchell Rob, McGloughlin Steven, Wratten Melanie, Hammad Karen, Banks Colin, Cameron Peter, Dingle Benjamin, Guirguis Ann-Maree, Guy Chris, Hansell Lamour, Jamieson Jennifer, Koliwan Arabella, McLean Lewis, McLean Naomi, Motofaga Silina, Phillips Georgina, Reid Sally, Tacon Cath, O'Reilly Gerard
School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Regional Emergency and Critical Care Systems Strengthening Initiative, Melbourne, Australia.
Emerg Med Australas. 2025 Jun;37(3):e70063. doi: 10.1111/1742-6723.70063.
Emergency and critical care services are essential to universal health coverage. World Health Assembly (WHA) Resolution 76.2, adopted in 2023, outlined the importance of integrated emergency, critical and operative care systems in strengthening primary healthcare capabilities. Recent research has determined that system strengthening and partnership-based approaches to healthcare capacity development have the potential to achieve greater equity and sustainability. The Regional Emergency and Critical Care Systems Strengthening Initiative (RECSI) is an Australian Government funded programme under the Partnerships for a Healthy Region (PHR) initiative. It aims to enhance acute care capacity and healthcare system resilience across the Pacific and Timor Leste. RECSI is led by a consortium of acute care organisations and provides a vehicle for progressing WHA 76.2. The programme focuses on four thematic areas: workforce capacity and training, systems and processes, data and research, and leadership and governance. As part of RECSI's inception, a structured programme logic was developed, which describes programme activities and outputs, and how they contribute to defined intermediate and end-of-programme outcomes. RECSI's monitoring, evaluation and learning (MEL) plan, which supplements the programme logic, incorporates sustainability indicators that are focused on monitoring the impact of mechanisms designed to enable ongoing benefits from programme outcomes. Utilising a partner-led and context-specific programme design, RECSI represents a rigorous approach to acute care system strengthening. This strategy aims to build genuine partnerships to leverage skills, knowledge and opportunity across the Pacific and Timor-Leste.
急诊和重症护理服务对于全民健康覆盖至关重要。2023年通过的世界卫生大会（WHA）第76.2号决议概述了综合急诊、重症和手术护理系统在加强初级医疗保健能力方面的重要性。最近的研究表明，加强系统和基于伙伴关系的医疗保健能力发展方法有潜力实现更大的公平性和可持续性。区域急诊和重症护理系统加强倡议（RECSI）是澳大利亚政府在“健康区域伙伴关系”（PHR）倡议下资助的一个项目。其目标是提高太平洋地区和东帝汶的急性护理能力以及医疗保健系统的复原力。RECSI由一个急性护理组织联盟牵头，并为推进WHA第76.2号决议提供了一个平台。该项目侧重于四个主题领域：劳动力能力与培训、系统与流程、数据与研究以及领导力与治理。作为RECSI启动工作的一部分，制定了一个结构化的项目逻辑，它描述了项目活动和产出，以及它们如何促成既定的中期和项目结束时的成果。RECSI的监测、评价和学习（MEL）计划补充了项目逻辑，纳入了可持续性指标，这些指标侧重于监测旨在从项目成果中持续受益的机制的影响。利用由合作伙伴主导且因地制宜的项目设计，RECSI代表了一种加强急性护理系统的严谨方法。这一战略旨在建立真正的伙伴关系，以利用太平洋地区和东帝汶的技能、知识和机会。
