关键词: J-SPEED disasters emergency medical team minimum data set epidemiology gender inequality health services accessibility

Mesh : Humans Female Japan Mozambique Male Aged Middle Aged Adult Disasters Adolescent Young Adult Child Child, Preschool Infant Emergency Medical Services / statistics & numerical data Aged, 80 and over Age Factors Infant, Newborn Sex Factors

来  源:   DOI:10.3390/ijerph21060696   PDF(Pubmed)

Abstract:
BACKGROUND: Standardized health-data collection enables effective disaster responses and patient care. Emergency medical teams use the Japan Surveillance in Post-Extreme Emergencies and Disasters (J-SPEED) reporting template to collect patient data. EMTs submit data on treated patients to an EMT coordination cell. The World Health Organization\'s (WHO) EMT minimum dataset (MDS) offers an international standard for disaster data collection.
OBJECTIVE: The goal of this study was to analyze age and gender distribution of medical consultations in EMT during disasters.
METHODS: Data collected from 2016 to 2020 using the J-SPEED/MDS tools during six disasters in Japan and Mozambique were analyzed. Linear regression with data smoothing via the moving average method was employed to identify trends in medical consultations based on age and gender.
RESULTS: 31,056 consultations were recorded: 13,958 in Japan and 17,098 in Mozambique. Women accounted for 56.3% and 55.7% of examinees in Japan and Mozambique, respectively. Children accounted for 6.8% of consultations in Japan and 28.1% in Mozambique. Elders accounted for 1.32 and 1.52 times more consultations than adults in Japan and Mozambique, respectively.
CONCLUSIONS: Study findings highlight the importance of considering age-specific healthcare requirements in disaster planning. Real-time data collection tools such as J-SPEED and MDS, which generate both daily reports and raw data for in-depth analysis, facilitate the validation of equitable access to healthcare services, emphasize the specific needs of vulnerable groups, and enable the consideration of cultural preferences to improve healthcare provision by EMTs.
摘要:
背景:标准化的健康数据收集可实现有效的灾难响应和患者护理。紧急医疗队使用日本极端紧急情况和灾难监测(J-SPEED)报告模板来收集患者数据。EMT将治疗患者的数据提交给EMT协调单元。世界卫生组织(WHO)的EMT最低数据集(MDS)为灾难数据收集提供了国际标准。
目的:本研究的目的是分析灾难期间EMT医疗咨询的年龄和性别分布。
方法:分析了2016年至2020年在日本和莫桑比克发生的6次灾难期间使用J-SPEED/MDS工具收集的数据。通过移动平均法进行数据平滑的线性回归用于识别基于年龄和性别的医疗咨询趋势。
结果:记录了31,056次咨询:日本为13,958次,莫桑比克为17,098次。在日本和莫桑比克,女性占考生的56.3%和55.7%,分别。在日本,儿童占咨询的6.8%,在莫桑比克占28.1%。在日本和莫桑比克,老年人的咨询人数是成年人的1.32和1.52倍,分别。
结论:研究结果强调了在灾难规划中考虑特定年龄医疗保健要求的重要性。实时数据收集工具,如J-SPEED和MDS,生成每日报告和原始数据进行深入分析,促进公平获得医疗保健服务的验证,强调弱势群体的具体需求,并考虑文化偏好,以改善EMT的医疗保健供应。
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