PDF(Pubmed)
Abstract：
UNASSIGNED: Emergency medical services (EMS) are often patients\' first point of contact for urgent and emergency care needs. Patients are triaged over the phone and may receive an ambulance response, with potential conveyance to the hospital. A recent scoping review suggested disparities in EMS patient care in the United States. However, it is unknown how health inequalities impact EMS care in other developed countries and how inequalities are being addressed.
UNASSIGNED: This rapid evidence map of published literature aims to map known health inequalities in EMS patients and describe interventions reducing health inequalities in EMS patient care.
UNASSIGNED: The search strategy consisted of EMS synonyms and health inequality synonyms. The MEDLINE/PubMed database was searched from 1 January 2010 to 26 July 2022. Studies were included if they described empirical research exploring health inequalities within ambulance service patient care. Studies were mapped on to the EMS care interventions framework and Core20PLUS5 framework. Studies evaluating interventions were synthesised using the United Kingdom Allied Health Professions Public Health Strategic Framework.
UNASSIGNED: The search strategy yielded 771 articles, excluding duplicates, with two more studies added from hand searches. One hundred studies met the inclusion criteria after full-text review. Inequalities in EMS patient care were predominantly situated in assessment, treatment and conveyance, although triage and response performance were also represented. Studies mostly explored EMS health inequalities within ethnic minority populations, populations with protected characteristics and the core issue of social deprivation. Studies evaluating interventions reducing health inequalities (n = 5) were from outside the United Kingdom and focused on older patients, ethnic minorities and those with limited English proficiency. Interventions included community paramedics, awareness campaigns, dedicated language lines and changes to EMS protocols.
UNASSIGNED: Further UK-based research exploring health inequalities of EMS patients would support ambulance service policy and intervention development to reduce health inequality in urgent and emergency care delivery.
UNASSIGNED: This rapid evidence map of published literature aims to map known health inequalities in EMS patients and describe interventions reducing health inequalities in EMS patient care.
UNASSIGNED: The search strategy consisted of EMS synonyms and health inequality synonyms. The MEDLINE/PubMed database was searched from 1 January 2010 to 26 July 2022. Studies were included if they described empirical research exploring health inequalities within ambulance service patient care. Studies were mapped on to the EMS care interventions framework and Core20PLUS5 framework. Studies evaluating interventions were synthesised using the United Kingdom Allied Health Professions Public Health Strategic Framework.
UNASSIGNED: The search strategy yielded 771 articles, excluding duplicates, with two more studies added from hand searches. One hundred studies met the inclusion criteria after full-text review. Inequalities in EMS patient care were predominantly situated in assessment, treatment and conveyance, although triage and response performance were also represented. Studies mostly explored EMS health inequalities within ethnic minority populations, populations with protected characteristics and the core issue of social deprivation. Studies evaluating interventions reducing health inequalities (n = 5) were from outside the United Kingdom and focused on older patients, ethnic minorities and those with limited English proficiency. Interventions included community paramedics, awareness campaigns, dedicated language lines and changes to EMS protocols.
UNASSIGNED: Further UK-based research exploring health inequalities of EMS patients would support ambulance service policy and intervention development to reduce health inequality in urgent and emergency care delivery.
摘要：
紧急医疗服务（EMS）通常是患者紧急和紧急护理需求的第一联系点。通过电话对患者进行分类，并可能收到救护车响应，有可能运送到医院。最近的范围审查表明，美国EMS患者护理存在差异。然而,尚不清楚健康不平等如何影响其他发达国家的EMS护理，以及如何解决不平等。
■这份发表文献的快速证据图旨在绘制EMS患者已知的健康不平等，并描述减少EMS患者护理中健康不平等的干预措施。
■搜索策略包括EMS同义词和健康不平等同义词。MEDLINE/PubMed数据库于2010年1月1日至2022年7月26日检索。如果他们描述了探索救护车服务患者护理中健康不平等的实证研究，则包括研究。研究被映射到EMS护理干预框架和Core20PLUS5框架。评估干预措施的研究是使用英国联合卫生专业公共卫生战略框架进行综合的。
■搜索策略产生了771篇文章，排除重复项，从手工搜索中增加了两项研究。经过全文回顾，一百项研究符合纳入标准。EMS患者护理中的不平等主要存在于评估中，处理和运输，尽管也代表了分诊和反应表现。研究主要探讨少数民族人口中的EMS健康不平等，具有受保护特征的人口和社会剥夺的核心问题。评估减少健康不平等的干预措施的研究（n=5）来自英国以外，重点是老年患者。少数民族和英语水平有限的人。干预措施包括社区护理人员，提高认识运动，专用语言线和EMS协议的更改。
■进一步基于英国的研究探索EMS患者的健康不平等将支持救护车服务政策和干预措施的发展，以减少紧急和紧急护理提供中的健康不平等。
■这份发表文献的快速证据图旨在绘制EMS患者已知的健康不平等，并描述减少EMS患者护理中健康不平等的干预措施。
■搜索策略包括EMS同义词和健康不平等同义词。MEDLINE/PubMed数据库于2010年1月1日至2022年7月26日检索。如果他们描述了探索救护车服务患者护理中健康不平等的实证研究，则包括研究。研究被映射到EMS护理干预框架和Core20PLUS5框架。评估干预措施的研究是使用英国联合卫生专业公共卫生战略框架进行综合的。
■搜索策略产生了771篇文章，排除重复项，从手工搜索中增加了两项研究。经过全文回顾，一百项研究符合纳入标准。EMS患者护理中的不平等主要存在于评估中，处理和运输，尽管也代表了分诊和反应表现。研究主要探讨少数民族人口中的EMS健康不平等，具有受保护特征的人口和社会剥夺的核心问题。评估减少健康不平等的干预措施的研究（n=5）来自英国以外，重点是老年患者。少数民族和英语水平有限的人。干预措施包括社区护理人员，提高认识运动，专用语言线和EMS协议的更改。
■进一步基于英国的研究探索EMS患者的健康不平等将支持救护车服务政策和干预措施的发展，以减少紧急和紧急护理提供中的健康不平等。
