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利用创新技术和健康数据,以改善肯尼亚的急诊护理和转诊服务。

Leveraging innovative technology and health data to enhance access to emergency care and referral services in Kenya.

作者信息

Reis Daniela Pugsley, Nawaggi Pamela, Fraenzel Anna, Dolkart Caitlin

机构信息

Rescue Global, Nairobi-Kenya Planning House, Lower Kabete Road, P.O. Box 2578-00606 Nairobi  Kenya.

出版信息

Oxf Open Digit Health. 2025 Aug 22;3:oqaf019. doi: 10.1093/oodh/oqaf019. eCollection 2025.

DOI:10.1093/oodh/oqaf019
PMID:40932896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12418930/
Abstract

BACKGROUND

Access to timely emergency medical services is a persistent challenge in low- and middle-income countries, where systems are often fragmented and under-resourced. In Kenya, gaps in centralized dispatch, ambulance coverage and coordination have led to prolonged emergency response times.

METHODS

Rescue.co's proprietary Flare platform and services were implemented in urban and rural Kenya, and expanded to Uganda and Tanzania. This case examined operational data, dispatch records and platform iterations in Kenya from 2017 to 2025.

IMPLEMENTATION

Rescue.co uses a proprietary tech stack-including global positioning system (GPS), Android devices, Google Maps application programming interface, and telecom tools-to enable real-time fleet coordination and route optimization. A 24/7 dispatch center staffed by trained personnel manages end-to-end response, using dispatch data to refine system performance and scalability.

OUTCOMES

Rescue.co reduced average response times from >160 minutes to 13 minutes in urban areas and <30 minutes in rural regions in Kenya. By 2025, 47 000+ emergency responses had been coordinated, 800+ ambulance providers had been connected to the network, and 2000 health facilities had been linked.

CONCLUSION

Rescue.co illustrates how a locally developed, scalable digital solution has transformed emergency medical services delivery in Kenya, with the potential to be scaled to other low- and middle-income countries. Its experience offers practical insights for health system leaders and policymakers advancing digital emergency care.

摘要

背景

在低收入和中等收入国家,获得及时的紧急医疗服务一直是一项挑战,这些国家的医疗系统往往分散且资源不足。在肯尼亚,集中调度、救护车覆盖范围和协调方面的差距导致紧急响应时间延长。

方法

Rescue.co的专有Flare平台和服务在肯尼亚城乡实施,并扩展到乌干达和坦桑尼亚。本案例研究了2017年至2025年肯尼亚的运营数据、调度记录和平台迭代情况。

实施

Rescue.co使用包括全球定位系统(GPS)、安卓设备、谷歌地图应用程序编程接口和电信工具在内的专有技术堆栈,以实现实时车队协调和路线优化。一个由训练有素的人员组成的全天候调度中心管理端到端响应,利用调度数据来优化系统性能和可扩展性。

成果

Rescue.co将肯尼亚城市地区的平均响应时间从超过160分钟缩短至13分钟,农村地区缩短至不到30分钟。到2025年,已协调了47000多次紧急响应,800多家救护车供应商接入了该网络,2000家医疗机构实现了连接。

结论

Rescue.co说明了一个本地开发的、可扩展的数字解决方案如何改变了肯尼亚的紧急医疗服务提供方式,并有潜力扩展到其他低收入和中等收入国家。其经验为推进数字紧急护理的卫生系统领导者和政策制定者提供了实用见解。

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