Planning Emergency Medical Services for Children in Bolivia: part 2-results of a Rapid Assessment Procedure
| Autor: | Timothy Malia, Julius G. Goepp, Armin Poordabbagh, Nancy P. Chin |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Bolivia
Attitude of Health Personnel Health Personnel Training system Psychological intervention Public policy Interviews as Topic Nursing Intensive care Health care Emergency medical services Medicine Humans Family Child Poverty business.industry General Medicine Viewpoints Pediatrics Perinatology and Child Health Emergency Medicine Wounds and Injuries business Emergency Service Hospital Attitude to Health Delivery of Health Care |
| Zdroj: | Pediatric emergency care. 20(10) |
| ISSN: | 1535-1815 |
| Popis: | OBJECTIVE: To obtain social and cultural data about factors affecting the development of Emergency Medical Services for Children (EMS-C) in La Paz, Bolivia. The points-of-view of potential consumers and providers were sought. METHODS: A Rapid Assessment Procedure (RAP) was conducted. RAP is a qualitative ethnographic technique that permits delineation of social, cultural, and behavioral themes about a population based on members' lived experience. In-depth interviews and participant-observation provide rapid information and enhance the likelihood of successful implementation of interventions and services before major investments in infrastructure. RESULTS: Information collected from providers, administrators, and consumers revealed 4 themes affecting EMS-C: (1) Nature of injuries and illnesses in the Emergency Department-root causes were held to be related to the physical and emotional effects of poverty; (2) "Inappropriate" use-health care providers and consumers differed in their identification of valid reasons for utilizing EMS-C; (3) Coordination, organization, and standardization of care-both groups keenly felt their absence; and (4) Training and specialization-particularly the provider respondents felt that EMS-C would require radical changes in the training system. An expected theme, Prevention and Advocacy, did not emerge; respondents did not appear to feel that health care providers had any role in affecting public policy. CONCLUSIONS: RAP methodology provided a detailed picture of current EMS-C in La Paz, including viewpoints from all major stakeholders. This information will be used to support the development of Emergency Medicine programs that are locally driven, culturally appropriate, and socially feasible. |
| Databáze: | OpenAIRE |
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