Emergency Care: Then, Now, And Next
Emergency Care: Then, Now, And Next
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DOI：
10.1377/hlthaff.2013.0683
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发表时间：
2013-12-01
期刊：
影响因子：
9.7
通讯作者：
Morganti, Kristine G.
中科院分区：
文献类型：
--
作者：
Kellermann, Arthur L.;Hsia, Renee Y.;Morganti, Kristine G.
50年前，医院的急诊室配备了轮流的社区医生或无人监督的医院工作人员。当地一家殡仪馆经常提供救护车服务。从20世纪60年代末开始，急诊护理迅速演变为目前的形式。今天，现代急诊科不仅有能力在个别紧急情况和灾难中提供全天候的救生护理。他们还及时进行诊断检查，提供下班后的急性护理，并为数百万低收入和未参保的患者提供“安全网的安全网”。但该领域的成功也带来了一系列新的挑战。为了克服这些问题，紧急护理必须变得更加一体化、地区化、以预防为导向和创新。
Five decades ago, hospitals staffed their emergency rooms with rotating community physicians or unsupervised hospital staff. Ambulance service was frequently provided by a local funeral home. Beginning in the late 1960s and accelerating thereafter, emergency care swiftly evolved into its current form. Today, modern emergency departments not only are capable of providing around-the-clock lifesaving care in individual emergencies and disasters. They also conduct timely diagnostic workups, provide access to after-hours acute care, and serve as the "safety net of the safety net" for millions of low-income and uninsured patients. But the field's success has led to a new set of challenges. To overcome them, emergency care must become more integrated, regionalized, prevention oriented, and innovative.