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The Emergency Medical System in Greece: Opening Aeolus’ Bag of Winds

机译:希腊的紧急医疗系统:打开风神的风袋

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摘要

An Emergency Medical Service (EMS) system must encompass a spectrum of care, with dedicated pre-hospital and in-hospital medical facilities. It has to be organised in such a way as to include all necessary services—such as triage accurate initial assessment, prompt resuscitation, efficient management of emergency cases, and transport to definitive care. The global economic downturn has had a direct effect on the health sector and poses additional threats to the healthcare system. Greece is one of the hardest-hit countries. This manuscript aims to present the structure of the Greek EMS system and the impact of the current economic recession on it. Nowadays, primary care suffers major shortages in crucial equipment, unmet health needs, and ineffective central coordination. Patients are also facing economic limitations that lead to difficulties in using healthcare services. The multi-factorial problem of in-hospital EMS overcrowding is also evident and has been linked with potentially poorer clinical outcomes. Furthermore, the ongoing refugee crisis challenges the national EMS. Adoption of a triage scale, expansion of the primary care network, and an effective primary–hospital continuum of care are urgently needed in Greece to provide comprehensive, culturally competent, and high-quality health care.
机译:紧急医疗服务(EMS)系统必须包含一系列护理,并配备专门的院前和院内医疗设施。它的组织方式必须包括所有必要的服务,例如,对分类进行准确的初步评估,迅速的复苏,紧急情况的有效管理以及运输到最终医疗等。全球经济下滑直接影响了卫生部门,并对卫生保健系统构成了其他威胁。希腊是受灾最严重的国家之一。该手稿旨在介绍希腊EMS系统的结构以及当前经济衰退对其的影响。如今,基层医疗服务严重短缺关键设备,未满足的医疗需求以及无效的中央协调。患者还面临经济限制,导致使用医疗保健服务困难。医院内EMS过度拥挤的多因素问题也很明显,并且与潜在的较差的临床结果有关。此外,持续的难民危机对国家环境管理体系构成了挑战。在希腊,迫切需要采用分流分摊比额表,扩大初级保健网络以及有效的初级-医院连续医疗体系,以提供全面的,具有文化能力的高质量保健。

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