Emergency medical care in developing countries: is it worthwhile?

Prevention is a core value of any health system. Nonetheless, many health problems will continue to occur despite preventive services. A significant burden of diseases in developing countries is caused by time-sensitive illnesses and injuries, such as severe infections, hypoxia caused by respiratory...

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Main Authors: Junaid A. Razzak, Arthur L. Kellermann
Format: Article
Language:English
Published: The World Health Organization
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002001100011&lng=en&tlng=en
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author Junaid A. Razzak
Arthur L. Kellermann
author_facet Junaid A. Razzak
Arthur L. Kellermann
author_sort Junaid A. Razzak
collection DOAJ
description Prevention is a core value of any health system. Nonetheless, many health problems will continue to occur despite preventive services. A significant burden of diseases in developing countries is caused by time-sensitive illnesses and injuries, such as severe infections, hypoxia caused by respiratory infections, dehydration caused by diarrhoea, intentional and unintentional injuries, postpartum bleeding, and acute myocardial infarction. The provision of timely treatment during life-threatening emergencies is not a priority for many health systems in developing countries. This paper reviews evidence indicating the need to develop and/or strengthen emergency medical care systems in these countries. An argument is made for the role of emergency medical care in improving the health of populations and meeting expectations for access to emergency care. We consider emergency medical care in the community, during transportation, and at first-contact and regional referral facilities. Obstacles to developing effective emergency medical care include a lack of structural models, inappropriate training foci, concerns about cost, and sustainability in the face of a high demand for services. A basic but effective level of emergency medical care responds to perceived and actual community needs and improves the health of populations.
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spelling doaj.art-33afb29a072f4e0b829aad2a16365faf2024-03-02T17:56:16ZengThe World Health OrganizationBulletin of the World Health Organization0042-9686801190090510.1590/S0042-96862002001100011S0042-96862002001100011Emergency medical care in developing countries: is it worthwhile?Junaid A. Razzak0Arthur L. Kellermann1Yale UniversityEmory University School of MedicinePrevention is a core value of any health system. Nonetheless, many health problems will continue to occur despite preventive services. A significant burden of diseases in developing countries is caused by time-sensitive illnesses and injuries, such as severe infections, hypoxia caused by respiratory infections, dehydration caused by diarrhoea, intentional and unintentional injuries, postpartum bleeding, and acute myocardial infarction. The provision of timely treatment during life-threatening emergencies is not a priority for many health systems in developing countries. This paper reviews evidence indicating the need to develop and/or strengthen emergency medical care systems in these countries. An argument is made for the role of emergency medical care in improving the health of populations and meeting expectations for access to emergency care. We consider emergency medical care in the community, during transportation, and at first-contact and regional referral facilities. Obstacles to developing effective emergency medical care include a lack of structural models, inappropriate training foci, concerns about cost, and sustainability in the face of a high demand for services. A basic but effective level of emergency medical care responds to perceived and actual community needs and improves the health of populations.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002001100011&lng=en&tlng=enservicios médicos de urgenciaprestación de atención de saludaccesibilidad a los servicios de saludatención primaria de saludtriajetransporte de pacientescosto de la enfermedadmedicina basada en evidenciaencuestas de atención de la saludpaíses en desarrollo
spellingShingle Junaid A. Razzak
Arthur L. Kellermann
Emergency medical care in developing countries: is it worthwhile?
Bulletin of the World Health Organization
servicios médicos de urgencia
prestación de atención de salud
accesibilidad a los servicios de salud
atención primaria de salud
triaje
transporte de pacientes
costo de la enfermedad
medicina basada en evidencia
encuestas de atención de la salud
países en desarrollo
title Emergency medical care in developing countries: is it worthwhile?
title_full Emergency medical care in developing countries: is it worthwhile?
title_fullStr Emergency medical care in developing countries: is it worthwhile?
title_full_unstemmed Emergency medical care in developing countries: is it worthwhile?
title_short Emergency medical care in developing countries: is it worthwhile?
title_sort emergency medical care in developing countries is it worthwhile
topic servicios médicos de urgencia
prestación de atención de salud
accesibilidad a los servicios de salud
atención primaria de salud
triaje
transporte de pacientes
costo de la enfermedad
medicina basada en evidencia
encuestas de atención de la salud
países en desarrollo
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002001100011&lng=en&tlng=en
work_keys_str_mv AT junaidarazzak emergencymedicalcareindevelopingcountriesisitworthwhile
AT arthurlkellermann emergencymedicalcareindevelopingcountriesisitworthwhile