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The state and future of emergency medicine in Macedonia

World Journal of Emergency Medicine 2016年第4期7卷 245-249页

作者： Bret Nicks marko spasov Christopher Watkins Emergency Medicine Wake Forest Baptist Medical Center2nd Meads Hall Medical Center Blvd Clinic on Traumatology State University Hospital

BACKGROUND:Macedonia has universal public health care *** and emergency patient care is provided in different care environments based on the medical complaint and resource *** emergency medicine and well organized emergency departments(EDs) are an essential component of any developed health care system,emergency medicine as a specialty is relatively non-existent in *** RESOURCES:A system assessment regarding presence,availability and capacity of EDs was completed from 2013-2015,based upon assessments of 21 institutions providing emergency care and information provided by the Ministry of *** assessment establishes a benchmark from which to strategically identify,plan and implement the future of emergency medicine in ***:In general,emergency departments- defined by offering acute care 24 hours per day,7 days per week- were available at all general and university ***,care resources,emergency and acute care training,and patient care capacity vary greatly within the *** is limited uniformity in acute care approach and *** EDs are not organized as separate divisions run by a head medical doctor,nor are they staffed by specialists trained in emergency *** diagnostic and treatment capacities are insufficient or outdated by current international emergency medicine standards and frequently require patient transfer or admission prior to ***:Most of the surveyed hospitals are capable of providing essential diagnostic tests,but very few are able to do so at the point or time of *** emergency medical services(EMS) have improved system-wide,emergent care interventions by EMS and within all hospitals remain *** system-wide acute and emergency care improvements are forthcoming.

关键词： Emergency medicine Macedonia

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