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Public Health Strategies for Strengthening Prehospital Injury Responses in St. Lucia

机译：加强圣卢西亚院前伤害反应的公共卫生策略

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摘要

Traumatic injuries have steadily increased during the last two decades, affecting over 5.8 million persons annually and have become a global public health issue. Since 2008, 80% of all deaths from noncommunicable diseases and trauma, approximately 29 million occurred in developing countries. Sixteen thousand young adults worldwide have died due to traumatic injuries. Additionally, injuries account for over 15% of the global burden of diseases, with approximately 90% of these injuries occurring in developing countries like St. Lucia. The purpose of this qualitative descriptive study was to examine policy gaps in prehospital traumatic injury responses and explore implementing Essential Public Health Functions (EPHF), that were conceptualized by countries in the Caribbean, to strengthen prehospital injury responses in St. Lucia. Using criterion-based sampling, 13 respondents from the St. Lucia emergency room, fire service Emergency Medical Services, and the ministry of health were interviewed. Their responses indicated a general deficiency in the procedures that guide trauma responses. Respondents cited EPHF 1, 2, 3, 4, 6, 10, 11, and sections of 9, as missing, and 1, 2, 3, 5, 8 and 10 as useful to improve prehospital response procedures and policies. These EPHF can be implemented through consultation with the ministry of health once political buy-in is achieved. The results indicate that the use of EPHF as a gold standard could be enforced through quality assurance programs. The findings from this study contribute to the knowledge base of prehospital traumatic injury responses. The study also has the potential to impact social change by providing health education campaigns that sensitize citizens to the perils of unnecessary and improper movement and transportation of injured victims.
机译：在过去的二十年中，创伤伤害稳步上升，每年影响580万人，已成为全球公共卫生问题。自2008年以来，在所有非传染性疾病和创伤死亡病例中，约有2900万人死于发展中国家，占80％。全世界有1万6千名年轻人因外伤而死亡。此外，伤害占全球疾病负担的15％以上，其中约90％的伤害发生在像圣卢西亚这样的发展中国家。这项定性描述性研究的目的是检查院前创伤性伤害应对措施中的政策差距，并探索实施加勒比海国家概念化的基本公共卫生职能（EPHF），以加强圣卢西亚的院前伤害性应对措施。使用基于标准的抽样，采访了来自圣卢西亚急诊室，消防紧急医疗服务和卫生部的13名受访者。他们的回答表明指导创伤反应的程序普遍存在缺陷。受访者认为EPHF 1、2、3、4、6、10、11和9的部分缺失，而1，2、3、5、8和10对改善院前反应程序和政策很有用。一旦获得政治支持，可以通过与卫生部协商来实施这些EPHF。结果表明，可以通过质量保证计划强制使用EPHF作为金标准。这项研究的发现有助于院前创伤性损伤反应的知识基础。该研究还可能通过提供健康教育运动，使公民意识到受伤受害者不必要和不适当的流动和运输的危险，从而有可能影响社会变革。

著录项

  • 作者

    Ferguson, Delwin O.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Epidemiology.;Public health education.;Health care management.
  • 学位 Ph.D.
  • 年度 2018
  • 页码 193 p.
  • 总页数 193
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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