Trends and challenges of emergency and acute care in Chinese mainland:2005–2017

作     者：Chang Pan Jiao-jiao Pang Kai Cheng Feng Xu Yu-guo Chen Chang Pan;Jiao-jiao Pang;Kai Cheng;Feng Xu;Yu-guo Chen

作者机构：Department of Emergency MedicineQilu Hospital of Shandong UniversityJinan 250012China Shandong Provincial Clinical Research Center for Emergency and Critical Care MedicineInstitute of Emergency and Critical Care Medicine of Shandong UniversityChest Pain CenterQilu Hospital of Shandong UniversityJinan 250012China Key Laboratory of Emergency and Critical Care Medicine of Shandong ProvinceKey Laboratory of Cardiopulmonary-Cerebral Resuscitation Research of Shandong ProvinceShandong Provincial Engineering Laboratory for Emergency and Critical Care MedicineQilu Hospital of Shandong UniversityJinan 250012China The Key Laboratory of Cardiovascular Remodeling and Function ResearchChinese Ministry of EducationChinese Ministry of Health and Chinese Academy of Medical Sciencesthe State and Shandong Province Joint Key Laboratory of Translational Cardiovascular MedicineQilu Hospital of Shandong UniversityJinan 250012China 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2021年第12卷第1期

页      面：5-11页

核心收录：

学科分类：100218[医学-急诊医学] 1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 10[医学] 

基　　金：supported by National Key R&D Program of China(2017YFC0908700,2017YFC0908703) Taishan Young Scholar Program of Shandong Province(tsqn20161065,tsqn201812129) Taishan Pandeng Scholar Program of Shandong Province(tspd20181220) National S&T Fundamental Resources Investigation Project(2018FY100600,2018FY100602) Key R&D Program of Shandong Province(2019GSF108075,2020SFXGFY03,2017G006013,2018GSF118003) Qilu Young Scholar Program 

主　　题：Emergency medical service system Emergency visits Capabilities Challenges 

摘      要：BACKGROUND:Emergency medical service system(EMSS)is essential in providing acute care services for health ***,trends of emergency and acute care in China haven’t been studied ***:Relevant literature was carefully reviewed,including original and review articles,letters,government reports,yearbooks,both in Chinese and in *** on the number of emergency visits,physicians and beds in emergency departments(EDs),and the workforce of prehospital emergency care were summarized and analyzed from China Health and Family Planning Statistical Yearbooks(2006–2018).RESULTS:Over the past decade,the number of ED visits tripled from 51.9 million to 166.5 million;and utilization of pre-hospital emergency care increased from 3.2 million to 6.8 *** response to rapid increases in demand,the number of licensed emergency physicians raised from 20,058 to 59,409;the beds’number increased from 10,783 to 42,*** pre-hospital emergency care,the volume of health workforce increased from 3,687 to 8,671,with a 109%increase in the number of physicians from 1,774 to 3,***,overcrowding,the long length of stay in EDs,poor work environment,and work exhaustion were still the critical challenges faced by China’s ***:The number of emergency visits has grown with continual capability enhancement during the past ***,overcrowding,the long length of stay in EDs,poor work environment,and work exhaustion still need to be solved by China’s *** fi ndings and comparison with the USA could offer experiences and lessons to EMSS development worldwide,especially for developing countries.