美国印第安人和阿拉斯加土著农村社区的EMS服务整合。

Q2 Social Sciences

AMA journal of ethics Pub Date : 2025-07-01 DOI:10.1001/amajethics.2025.525

Chelsea Tsasse, John Shufeldt

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引用次数: 0

摘要

本文概述了在美国印第安人和阿拉斯加原住民（AI/NA）农村社区优化和扩大紧急医疗服务（EMS）的几项举措。它强调了文化谦逊、成本效益、公平和部落主权在EMS许可中的重要性，并描述了关键基础设施改善（如道路和通信系统）对AI/NA农村社区EMS响应能力的影响。本文还探讨了将远程医疗和基于无人机的关键药物交付纳入农村紧急医疗服务响应能力的实际和财务战略。

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EMS Service Integration in American Indian and Native Alaskan Rural Communities.

This article outlines several initiatives to optimize and expand emergency medical services (EMS) in American Indian and Native Alaskan (AI/NA) rural communities. It highlights the significance of cultural humility, cost-effectiveness, equity, and tribal sovereignty in EMS licensure and describes key infrastructure improvements (eg, roads and communication systems) to EMS responsiveness in AI/NA rural communities. This article also examines practical and financial strategies for integrating telehealth and drone-based delivery of critical medicines into rural EMS response capacity.

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来源期刊

AMA journal of ethics Social Sciences-Health (social science)

CiteScore

1.90

自引率

0.00%

发文量

146

期刊介绍： The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.