Le SIDA au Ghana (serveur d'exploration)

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<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>
<nlm:aff id="A1">University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oteng, R" sort="Oteng, R" uniqKey="Oteng R" first="R" last="Oteng">R. Oteng</name>
<affiliation>
<nlm:aff id="A2">University of Michigan, Department of Emergency Medicine, Ann Arbor, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Zakariah, A" sort="Zakariah, A" uniqKey="Zakariah A" first="A" last="Zakariah">A. Zakariah</name>
<affiliation>
<nlm:aff id="A3">National Ambulance Service, Republic of Ghana Ministry of Health, Accra, Ghana</nlm:aff>
</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>
<nlm:aff id="A4">Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi, Ghana</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oduro, G" sort="Oduro, G" uniqKey="Oduro G" first="G" last="Oduro">G. Oduro</name>
<affiliation>
<nlm:aff id="A4">Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi, Ghana</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Barsan, W" sort="Barsan, W" uniqKey="Barsan W" first="W" last="Barsan">W. Barsan</name>
<affiliation>
<nlm:aff id="A2">University of Michigan, Department of Emergency Medicine, Ann Arbor, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Donkor, P" sort="Donkor, P" uniqKey="Donkor P" first="P" last="Donkor">P. Donkor</name>
<affiliation>
<nlm:aff id="A5">Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kowalenko, T" sort="Kowalenko, T" uniqKey="Kowalenko T" first="T" last="Kowalenko">T. Kowalenko</name>
<affiliation>
<nlm:aff id="A6">Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, USA</nlm:aff>
</affiliation>
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<idno type="pmid">26693186</idno>
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<idno type="RBID">PMC:4676599</idno>
<date when="2015">2015</date>
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<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>
<nlm:aff id="A1">University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oteng, R" sort="Oteng, R" uniqKey="Oteng R" first="R" last="Oteng">R. Oteng</name>
<affiliation>
<nlm:aff id="A2">University of Michigan, Department of Emergency Medicine, Ann Arbor, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Zakariah, A" sort="Zakariah, A" uniqKey="Zakariah A" first="A" last="Zakariah">A. Zakariah</name>
<affiliation>
<nlm:aff id="A3">National Ambulance Service, Republic of Ghana Ministry of Health, Accra, Ghana</nlm:aff>
</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>
<nlm:aff id="A4">Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi, Ghana</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oduro, G" sort="Oduro, G" uniqKey="Oduro G" first="G" last="Oduro">G. Oduro</name>
<affiliation>
<nlm:aff id="A4">Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi, Ghana</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Barsan, W" sort="Barsan, W" uniqKey="Barsan W" first="W" last="Barsan">W. Barsan</name>
<affiliation>
<nlm:aff id="A2">University of Michigan, Department of Emergency Medicine, Ann Arbor, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Donkor, P" sort="Donkor, P" uniqKey="Donkor P" first="P" last="Donkor">P. Donkor</name>
<affiliation>
<nlm:aff id="A5">Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kowalenko, T" sort="Kowalenko, T" uniqKey="Kowalenko T" first="T" last="Kowalenko">T. Kowalenko</name>
<affiliation>
<nlm:aff id="A6">Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, USA</nlm:aff>
</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>
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<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>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Ghana Med J</journal-id>
<journal-title-group>
<journal-title>Ghana Medical Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0016-9560</issn>
<publisher>
<publisher-name>Ghana Medical Association</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26693186</article-id>
<article-id pub-id-type="pmc">4676599</article-id>
<article-id pub-id-type="publisher-id">jGMJ.v49.i3.pg125</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Assessment of Emergency Medical Services in the Ashanti Region of Ghana</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mould-Millman</surname>
<given-names>NK</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oteng</surname>
<given-names>R</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zakariah</surname>
<given-names>A</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Osei-Ampofo</surname>
<given-names>M</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oduro</surname>
<given-names>G</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Barsan</surname>
<given-names>W</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Donkor</surname>
<given-names>P</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kowalenko</surname>
<given-names>T</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora, USA</aff>
<aff id="A2">
<label>2</label>
University of Michigan, Department of Emergency Medicine, Ann Arbor, USA</aff>
<aff id="A3">
<label>3</label>
National Ambulance Service, Republic of Ghana Ministry of Health, Accra, Ghana</aff>
<aff id="A4">
<label>4</label>
Komfo Anokye Teaching Hospital, Accident and Emergency Centre, Kumasi, Ghana</aff>
<aff id="A5">
<label>5</label>
Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff>
<aff id="A6">
<label>6</label>
Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, USA</aff>
<author-notes>
<corresp>Corresponding author: Dr. N.K. Mould-Millman
<email>Nee-Kofi.Mould-Millman@UCDenver.edu</email>
</corresp>
<fn fn-type="conflict">
<p>
<bold>Conflict of Interest:</bold>
None declared</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<month>9</month>
<year>2015</year>
</pub-date>
<volume>49</volume>
<issue>3</issue>
<fpage>125</fpage>
<lpage>135</lpage>
<permissions>
<copyright-statement>Copyright © Ghana Medical Association 2015</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract abstract-type="executive-summary">
<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>
</abstract>
<kwd-group>
<kwd>EMS</kwd>
<kwd>prehospital</kwd>
<kwd>ambulance</kwd>
<kwd>emergency</kwd>
<kwd>Ghana</kwd>
<kwd>Africa</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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