Le SIDA au Ghana (serveur d'exploration)

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Assessment of Emergency Medical Services in the Ashanti Region of Ghana

Identifieur interne : 000391 ( Main/Exploration ); précédent : 000390; suivant : 000392

Assessment of Emergency Medical Services in the Ashanti Region of Ghana

Auteurs : Nk Mould-Millman [États-Unis] ; R. Oteng [États-Unis] ; A. Zakariah [Ghana] ; M. Osei-Ampofo [Ghana] ; G. Oduro [Ghana] ; W. Barsan [États-Unis] ; P. Donkor [Ghana] ; T. Kowalenko [États-Unis]

Source :

RBID : PMC:4676599

Abstract

SummaryBackground

We aimed to assess the structure, function and performance of Ashanti Region's emergency medical services system in the context of the regional need for prehospital emergency care.

Design

A mixed-methods approach was employed, using retrospective collection of quantitative data and prospectively gathered qualitative data. Setting - pertinent data were collected from Ghanaian and international sources; interviews and technical assessments were performed primarily in the Ashanti Region of Ghana.

Participants

All stakeholders relevant to emergency medical services in the Ashanti Region of Ghana were assessed; there was a special focus on National Ambulance Service (NAS) and Ashanti Region healthcare personnel.

Intervention

This was an observational study using qualitative and quantitative assessment techniques.

Main outcome measures

The structure, function and performance of the Ashanti emergency medical services system, guided by a relevant technical assessment framework.

Results

NAS is the premier and only true prehospital agency in the Ashanti Region. NAS has developed almost every essential aspect of an EMS system necessary to achieve its mission within a low-resource setting. NAS continues to increase its number of response units to address the overwhelming Ashanti region demand, especially primary calls. Deficient areas in need of development are governance, reliable revenue, public access, community integration, clinical care guidelines, research and quality assurance processes.

Conclusions

The Ashanti Region has a growing and thriving emergency medical services system. Although many essential areas for development were identified, NAS is well poised to meet the regional demand for prehospital emergency care and transport.


Url:
PubMed: 26693186
PubMed Central: 4676599


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Assessment of Emergency Medical Services in the Ashanti Region of Ghana</title>
<author>
<name sortKey="Mould Millman, Nk" sort="Mould Millman, Nk" uniqKey="Mould Millman N" first="Nk" last="Mould-Millman">Nk Mould-Millman</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora</wicri:regionArea>
<wicri:noRegion>Aurora</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Oteng, R" sort="Oteng, R" uniqKey="Oteng R" first="R" last="Oteng">R. Oteng</name>
<affiliation wicri:level="1">
<nlm:aff id="A2">University of Michigan, Department of Emergency Medicine, Ann Arbor, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan, Department of Emergency Medicine, Ann Arbor</wicri:regionArea>
<wicri:noRegion>Ann Arbor</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Zakariah, A" sort="Zakariah, A" uniqKey="Zakariah A" first="A" last="Zakariah">A. Zakariah</name>
<affiliation wicri:level="3">
<nlm:aff id="A3">National Ambulance Service, Republic of Ghana Ministry of Health, Accra, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>National Ambulance Service, Republic of Ghana Ministry of Health, Accra</wicri:regionArea>
<placeName>
<settlement type="city">Accra</settlement>
<region nuts="2">Région du Grand Accra</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Osei Ampofo, M" sort="Osei Ampofo, M" uniqKey="Osei Ampofo M" first="M" last="Osei-Ampofo">M. Osei-Ampofo</name>
<affiliation wicri:level="1">
<nlm:aff id="A4">Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Oduro, G" sort="Oduro, G" uniqKey="Oduro G" first="G" last="Oduro">G. Oduro</name>
<affiliation wicri:level="1">
<nlm:aff id="A4">Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Barsan, W" sort="Barsan, W" uniqKey="Barsan W" first="W" last="Barsan">W. Barsan</name>
<affiliation wicri:level="1">
<nlm:aff id="A2">University of Michigan, Department of Emergency Medicine, Ann Arbor, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan, Department of Emergency Medicine, Ann Arbor</wicri:regionArea>
<wicri:noRegion>Ann Arbor</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Donkor, P" sort="Donkor, P" uniqKey="Donkor P" first="P" last="Donkor">P. Donkor</name>
<affiliation wicri:level="1">
<nlm:aff id="A5">Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kowalenko, T" sort="Kowalenko, T" uniqKey="Kowalenko T" first="T" last="Kowalenko">T. Kowalenko</name>
<affiliation wicri:level="1">
<nlm:aff id="A6">Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak</wicri:regionArea>
<wicri:noRegion>Royal Oak</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">26693186</idno>
<idno type="pmc">4676599</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676599</idno>
<idno type="RBID">PMC:4676599</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000004</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000004</idno>
<idno type="wicri:Area/Pmc/Curation">000004</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000004</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000200</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000200</idno>
<idno type="wicri:Area/Ncbi/Merge">000918</idno>
<idno type="wicri:Area/Ncbi/Curation">000918</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000918</idno>
<idno type="wicri:doubleKey">0016-9560:2015:Mould Millman N:assessment:of:emergency</idno>
<idno type="wicri:Area/Main/Merge">000391</idno>
<idno type="wicri:Area/Main/Curation">000391</idno>
<idno type="wicri:Area/Main/Exploration">000391</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Assessment of Emergency Medical Services in the Ashanti Region of Ghana</title>
<author>
<name sortKey="Mould Millman, Nk" sort="Mould Millman, Nk" uniqKey="Mould Millman N" first="Nk" last="Mould-Millman">Nk Mould-Millman</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora</wicri:regionArea>
<wicri:noRegion>Aurora</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Oteng, R" sort="Oteng, R" uniqKey="Oteng R" first="R" last="Oteng">R. Oteng</name>
<affiliation wicri:level="1">
<nlm:aff id="A2">University of Michigan, Department of Emergency Medicine, Ann Arbor, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan, Department of Emergency Medicine, Ann Arbor</wicri:regionArea>
<wicri:noRegion>Ann Arbor</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Zakariah, A" sort="Zakariah, A" uniqKey="Zakariah A" first="A" last="Zakariah">A. Zakariah</name>
<affiliation wicri:level="3">
<nlm:aff id="A3">National Ambulance Service, Republic of Ghana Ministry of Health, Accra, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>National Ambulance Service, Republic of Ghana Ministry of Health, Accra</wicri:regionArea>
<placeName>
<settlement type="city">Accra</settlement>
<region nuts="2">Région du Grand Accra</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Osei Ampofo, M" sort="Osei Ampofo, M" uniqKey="Osei Ampofo M" first="M" last="Osei-Ampofo">M. Osei-Ampofo</name>
<affiliation wicri:level="1">
<nlm:aff id="A4">Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Oduro, G" sort="Oduro, G" uniqKey="Oduro G" first="G" last="Oduro">G. Oduro</name>
<affiliation wicri:level="1">
<nlm:aff id="A4">Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Barsan, W" sort="Barsan, W" uniqKey="Barsan W" first="W" last="Barsan">W. Barsan</name>
<affiliation wicri:level="1">
<nlm:aff id="A2">University of Michigan, Department of Emergency Medicine, Ann Arbor, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan, Department of Emergency Medicine, Ann Arbor</wicri:regionArea>
<wicri:noRegion>Ann Arbor</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Donkor, P" sort="Donkor, P" uniqKey="Donkor P" first="P" last="Donkor">P. Donkor</name>
<affiliation wicri:level="1">
<nlm:aff id="A5">Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff>
<country xml:lang="fr">Ghana</country>
<wicri:regionArea>Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea>
<wicri:noRegion>Kumasi</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kowalenko, T" sort="Kowalenko, T" uniqKey="Kowalenko T" first="T" last="Kowalenko">T. Kowalenko</name>
<affiliation wicri:level="1">
<nlm:aff id="A6">Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak</wicri:regionArea>
<wicri:noRegion>Royal Oak</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Ghana Medical Journal</title>
<idno type="ISSN">0016-9560</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<title>Summary</title>
<sec>
<title>Background</title>
<p>We aimed to assess the structure, function and performance of Ashanti Region's emergency medical services system in the context of the regional need for prehospital emergency care.</p>
</sec>
<sec>
<title>Design</title>
<p>A mixed-methods approach was employed, using retrospective collection of quantitative data and prospectively gathered qualitative data. Setting - pertinent data were collected from Ghanaian and international sources; interviews and technical assessments were performed primarily in the Ashanti Region of Ghana.</p>
</sec>
<sec>
<title>Participants</title>
<p>All stakeholders relevant to emergency medical services in the Ashanti Region of Ghana were assessed; there was a special focus on National Ambulance Service (NAS) and Ashanti Region healthcare personnel.</p>
</sec>
<sec>
<title>Intervention</title>
<p>This was an observational study using qualitative and quantitative assessment techniques.</p>
</sec>
<sec>
<title>Main outcome measures</title>
<p>The structure, function and performance of the Ashanti emergency medical services system, guided by a relevant technical assessment framework.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>NAS is the premier and only true prehospital agency in the Ashanti Region. NAS has developed almost every essential aspect of an EMS system necessary to achieve its mission within a low-resource setting. NAS continues to increase its number of response units to address the overwhelming Ashanti region demand, especially primary calls. Deficient areas in need of development are governance, reliable revenue, public access, community integration, clinical care guidelines, research and quality assurance processes.</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusions</title>
<p>The Ashanti Region has a growing and thriving emergency medical services system. Although many essential areas for development were identified, NAS is well poised to meet the regional demand for prehospital emergency care and transport.</p>
</sec>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Ghana</li>
<li>États-Unis</li>
</country>
<region>
<li>Région du Grand Accra</li>
</region>
<settlement>
<li>Accra</li>
</settlement>
</list>
<tree>
<country name="États-Unis">
<noRegion>
<name sortKey="Mould Millman, Nk" sort="Mould Millman, Nk" uniqKey="Mould Millman N" first="Nk" last="Mould-Millman">Nk Mould-Millman</name>
</noRegion>
<name sortKey="Barsan, W" sort="Barsan, W" uniqKey="Barsan W" first="W" last="Barsan">W. Barsan</name>
<name sortKey="Kowalenko, T" sort="Kowalenko, T" uniqKey="Kowalenko T" first="T" last="Kowalenko">T. Kowalenko</name>
<name sortKey="Oteng, R" sort="Oteng, R" uniqKey="Oteng R" first="R" last="Oteng">R. Oteng</name>
</country>
<country name="Ghana">
<region name="Région du Grand Accra">
<name sortKey="Zakariah, A" sort="Zakariah, A" uniqKey="Zakariah A" first="A" last="Zakariah">A. Zakariah</name>
</region>
<name sortKey="Donkor, P" sort="Donkor, P" uniqKey="Donkor P" first="P" last="Donkor">P. Donkor</name>
<name sortKey="Oduro, G" sort="Oduro, G" uniqKey="Oduro G" first="G" last="Oduro">G. Oduro</name>
<name sortKey="Osei Ampofo, M" sort="Osei Ampofo, M" uniqKey="Osei Ampofo M" first="M" last="Osei-Ampofo">M. Osei-Ampofo</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000391 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000391 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    SidaGhanaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     PMC:4676599
   |texte=   Assessment of Emergency Medical Services in the Ashanti Region of Ghana
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:26693186" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a SidaGhanaV1 

Wicri

This area was generated with Dilib version V0.6.31.
Data generation: Tue Nov 7 18:07:38 2017. Site generation: Tue Mar 5 15:01:57 2024