流动综合卫生保健与社区辅助医学：NAEMSP立场声明与资源文件。

IF 2 3区医学 Q2 EMERGENCY MEDICINE

Prehospital Emergency Care Pub Date : 2025-08-21 DOI:10.1080/10903127.2025.2541899

Alexander J Ulintz, Laurel C O'Connor, Todd M Heffern, Joel Rowe, Jeffrey E Rollman, Gary Wingrove, Matt Zavadsky, Michael R Wilcox, Scott A Goldberg

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引用次数: 0

摘要

紧急医疗服务（EMS）是公共卫生和安全不可或缺的一部分，为个人和社区提供卫生保健。社区辅助医疗（CP）和移动综合卫生保健（MIH）项目是EMS的扩展模式，在社区提供基于需求、以患者为中心的护理。成功的实施需要社区卫生需求评估、EMS医疗主管的参与、多学科合作以及认可院前医疗服务的可持续报销，而不是传统的交通费用支付。NAEMSP建议：专业且知识渊博的EMS内科医生主任，最好有EMS委员会认证，必须指导CP和MIH项目。CP和MIH方案应根据社区卫生需求评估进行调整，以满足当地社区的需求，并在不重复服务的情况下弥合当地在获取或护理方面的差距。EMS临床医生的角色应由内科主任明确界定，并反映协作实践的界限。内科主任可向国家监管机构寻求关于CP和MIH实践的额外指导，但实践法规和标准不应扼杀创新，而应根据现有数据和结果衡量标准建立。任何州培训或认证法规都应取决于所提供的扩展服务，并根据内科EMS医疗主任的意见进行制定。临床医生培训计划的目的是全面的方法应该使用标准化的课程。在实践范围有限的项目中，针对目标疾病过程的模块化培训可能是合适的。在这两种情况下，CP和MIH临床医生都应接受医师医学主任支持的定期能力评估。州和联邦机构应该在医疗保险和医疗补助下建立报销系统，EMS机构应该与私人付款人合作，确保社区辅助医疗和移动综合医疗的报销，与交通报销脱钩。使用标准化工具、方法和报告结构进行数据收集和分析对于CP和MIH项目的评估和发展至关重要。CP和MIH研究应该开发一个描述项目的标准分类法，确定共同的数据定义和结果测量，协作汇总数据，并倡导开发数据报告标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Mobile Integrated Health Care and Community Paramedicine: A Position Statement and Resource Document of NAEMSP.

Emergency medical services (EMS) are integral to public health and safety and provide health care to both individuals and communities. Community paramedicine (CP) and mobile integrated health care (MIH) programs are expanded models of EMS that provide needs-based, patient-centered care in the community. Successful implementation requires a community health needs assessment, engaged EMS medical directors, multidisciplinary collaboration, and sustainable reimbursement that recognizes prehospital care delivery beyond traditional payment for transport.

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来源期刊

Prehospital Emergency Care 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.30

自引率

12.50%

发文量

137

审稿时长

1 months

期刊介绍： Prehospital Emergency Care publishes peer-reviewed information relevant to the practice, educational advancement, and investigation of prehospital emergency care, including the following types of articles: Special Contributions - Original Articles - Education and Practice - Preliminary Reports - Case Conferences - Position Papers - Collective Reviews - Editorials - Letters to the Editor - Media Reviews.