Applying the lessons of maternal mortality reduction to global emergency health
Applying the lessons of maternal mortality reduction to global emergency health
复制标题
DOI：
10.2471/blt.14.146571
复制
发表时间：
2015-06-01
影响因子：
11.1
通讯作者：
Wallis, Lee A.
中科院分区：
文献类型：
--
作者：
Calvello, Emilie J.;Skog, Alexander P.;Wallis, Lee A.
在过去几十年中，孕产妇健康一直是国际社会的一个主要关注点，这导致全球孕产妇死亡率大幅下降。虽然与孕产妇疾病相比，内科和外科急诊的发病率和死亡率要高得多，但对改善综合应急系统的全球努力却不够重视。在降低孕产妇死亡率的努力中，深思熟虑和具体地应用这些概念，可以大大改善全球紧急保健服务。为孕产妇死亡率制定的所谓三延迟模式可适用于紧急服务的提供。调整评价框架，使之包括紧急警戒条件，可以有效监测应急设施和进一步制定政策。未来的全球紧急卫生工作可能会受益于纳入规划和评价高效干预措施的战略。
Over the last few decades, maternal health has been a major focus of the international community and this has resulted in a substantial decrease in maternal mortality globally. Although, compared with maternal illness, medical and surgical emergencies account for far more morbidity and mortality, there has been less focus on global efforts to improve comprehensive emergency systems. The thoughtful and specific application of the concepts used in the effort to decrease maternal mortality could lead to major improvements in global emergency health services. The so-called three-delay model that was developed for maternal mortality can be adapted to emergency service delivery. Adaptation of evaluation frameworks to include emergency sentinel conditions could allow effective monitoring of emergency facilities and further policy development. Future global emergency health efforts may benefit from incorporating strategies for the planning and evaluation of high-impact interventions.