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将全球健康概念融入儿科急诊医学培训与实践:一项叙述性综述

Integrating Global Health Concepts into Pediatric Emergency Medicine Training and Practice: A Narrative Review.

作者信息

AlSabri Mohammed, Shaban Noha S, Fahmy Karim, Oboli Victor N, Siraj Hashim Mohamed, Hussein Mirna, Abdelrahman Salma T

机构信息

St. Christopher's, Hospital, Philadelphia, PA, USA.

Menofia University, Shebeen El-Kom, Egypt.

出版信息

Sage Open Pediatr. 2025 Jun 14;12:30502225251337535. doi: 10.1177/30502225251337535. eCollection 2025 Jan-Dec.

Abstract

The integration of global health (GH) principles into pediatric emergency medicine (PEM) is essential to addressing disparities in child health outcomes, particularly in low- and middle-income countries (LMICs), where preventable diseases remain a leading cause of mortality. This narrative review explores the intersection of PEM and GH, emphasizing the need for comprehensive training, sustainable infrastructure, and policy frameworks tailored to resource-limited settings. Key barriers, including limited critical care resources, delayed presentation, and workforce shortages, are discussed alongside the transformative potential of strategies such as telemedicine, cultural competence, and international collaboration. The review highlights successful models from both high-resource and low-resource settings, illustrating how innovative training programs, bidirectional partnerships, and equitable resource allocation can enhance pediatric emergency care globally. By advocating for capacity building, evidence-based policymaking, and integration of GH into PEM training, this review provides actionable insights to ensure resilient, inclusive, and high-quality pediatric emergency care systems worldwide.

摘要

将全球卫生(GH)原则融入儿科急诊医学(PEM)对于解决儿童健康结果方面的差异至关重要,尤其是在低收入和中等收入国家(LMICs),在这些国家,可预防疾病仍然是主要死因。这篇叙述性综述探讨了PEM与GH的交叉点,强调了针对资源有限环境的全面培训、可持续基础设施和政策框架的必要性。文中讨论了关键障碍,包括重症监护资源有限、就诊延迟和劳动力短缺,同时也探讨了远程医疗、文化能力和国际合作等策略的变革潜力。该综述突出了高资源和低资源环境中的成功模式,展示了创新培训项目、双向伙伴关系和公平资源分配如何能够在全球范围内加强儿科急诊护理。通过倡导能力建设、循证决策以及将GH融入PEM培训,本综述提供了可操作的见解,以确保全球范围内有韧性、包容性和高质量的儿科急诊护理系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc3a/12220890/52e917bcde57/10.1177_30502225251337535-fig1.jpg

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