Strengthening the Capacity of Emergency Medical Services in Low and Middle Income Countries using Dispatcher-Coordinated Taxis.

Strengthening the Capacity of Emergency Medical Services in Low and Middle Income Countries using Dispatcher-Coordinated Taxis.
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DOI:
10.1177/0361198120929024
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发表时间:
2020-09-01
影响因子:
1.7
通讯作者:
Bhalla K
Bhalla K
中科院分区:
工程技术4区
文献类型:
--
作者:
Mishra V;Ahuja R;Nezamuddin N;Tiwari G;Bhalla K

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国际标准建议为每50,000人提供一辆救护车,以满足低收入和中等收入国家(LMIC)将患者运送到最终护理设施的需求。各国政府一直在努力建设中低收入国家的紧急医疗服务能力,但这需要大量资金。这项研究是试图评估现有的EMS在印度德里的能力建设的可行性,通过使用出租车作为道路交通事故受害者的紧急运输的替代运输方式,使道路交通事故的时间关键性被认为是重要的响应时间的改善。所提出的系统的性能进行评估的基础上的响应时间,覆盖范围和距离。该系统模拟的性能和量化的出租车-救护车配置,以达到国际标准的EMS性能。
International standards recommend provision of 1 ambulance for every 50,000 people to fulfil demand for transporting patients to definitive care facilities in Low and Middle Income Countries (LMICs). Governments’ consistent attempt to build capacity of emergency medical services (EMS) in LMICs has been financially demanding. This study is an attempt to assess the feasibility of capacity building of existing EMS in Delhi, India by using taxis as an alternative mode of transport for emergency transportation of road traffic crash victims to enable improvement in response time for road traffic crashes where time criticality is deemed important. Performance of the proposed system is evaluated based on response time, coverage and distance. The system models the performance and quantifies the taxi - ambulance configuration for achieving EMS performance within international standards.
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