{"title":"我们应该如何资助和重新构想EMS以支持可持续的农村卫生基础设施?","authors":"Michael Levy","doi":"10.1001/amajethics.2025.503","DOIUrl":null,"url":null,"abstract":"<p><p>Emergency medical services (EMS) care in rural areas of the United States has suffered from being chronically under-resourced and understaffed for many years. Deficits, to a large extent, are due to how EMS is funded and due to shortfalls in staffing and equipment. Licensed volunteers often staff EMS units in rural areas, but recruitment and retention of skilled professional and volunteer caregivers is stifled by waning numbers. If further expansion of our nation's ambulance deserts is to be avoided, policy action must be taken to adequately fund, as well as to reimagine, rural EMS care.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E503-509"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"How Should We Fund and Reimagine EMS to Support Sustainable Rural Health Infrastructure?\",\"authors\":\"Michael Levy\",\"doi\":\"10.1001/amajethics.2025.503\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Emergency medical services (EMS) care in rural areas of the United States has suffered from being chronically under-resourced and understaffed for many years. Deficits, to a large extent, are due to how EMS is funded and due to shortfalls in staffing and equipment. Licensed volunteers often staff EMS units in rural areas, but recruitment and retention of skilled professional and volunteer caregivers is stifled by waning numbers. If further expansion of our nation's ambulance deserts is to be avoided, policy action must be taken to adequately fund, as well as to reimagine, rural EMS care.</p>\",\"PeriodicalId\":38034,\"journal\":{\"name\":\"AMA journal of ethics\",\"volume\":\"27 7\",\"pages\":\"E503-509\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"AMA journal of ethics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1001/amajethics.2025.503\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Social Sciences\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"AMA journal of ethics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1001/amajethics.2025.503","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Social Sciences","Score":null,"Total":0}
How Should We Fund and Reimagine EMS to Support Sustainable Rural Health Infrastructure?
Emergency medical services (EMS) care in rural areas of the United States has suffered from being chronically under-resourced and understaffed for many years. Deficits, to a large extent, are due to how EMS is funded and due to shortfalls in staffing and equipment. Licensed volunteers often staff EMS units in rural areas, but recruitment and retention of skilled professional and volunteer caregivers is stifled by waning numbers. If further expansion of our nation's ambulance deserts is to be avoided, policy action must be taken to adequately fund, as well as to reimagine, rural EMS care.
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.