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Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation
Emergency medical teams provide urgent medical and surgical care in emergencies characterized by a surge in trauma or disease. Rehabilitation has historically not been included in the acute phase of care, as teams have either not perceived it as their responsibility or have relied on external provid...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050053/ https://www.ncbi.nlm.nih.gov/pubmed/30050723 http://dx.doi.org/10.1371/currents.dis.76fd9ebfd8689469452cc8c0c0d7cdce |
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author | Mills, Jody-Anne Gosney, James Stephenson, Fiona Skelton, Peter Norton, Ian Scherrer, Valerie Jacquemin, Geraldine Rau, Barbara |
author_facet | Mills, Jody-Anne Gosney, James Stephenson, Fiona Skelton, Peter Norton, Ian Scherrer, Valerie Jacquemin, Geraldine Rau, Barbara |
author_sort | Mills, Jody-Anne |
collection | PubMed |
description | Emergency medical teams provide urgent medical and surgical care in emergencies characterized by a surge in trauma or disease. Rehabilitation has historically not been included in the acute phase of care, as teams have either not perceived it as their responsibility or have relied on external providers, including local services and international organizations, to provide services. Low- and middle-income countries, which often have limited rehabilitation capacity within their health system, are particularly vulnerable to disaster and are usually ill-equipped to address the increased burden of rehabilitation needs that arise. The resulting unmet needs for rehabilitation culminate in unnecessary complications for patients, delayed recovery, reduced functional outcomes, and often impede return to daily activities and life roles. Recognizing the systemic neglect of rehabilitation in global emergency medical response, the World Health Organization, in collaboration with key operational partners and experts, developed technical standards and recommendations for rehabilitation which are integrated into the WHO verification process for EMTs. This protocol report presents: 1) the rationale for the development of the standards and accompanying recommendations; 2) the methodology of the development process; 3) the minimum standards and other significant content included in the document; 4) challenges encountered during development and implementation; and 5) current and next steps to continue strengthening the inclusion of rehabilitation in emergency medical response. |
format | Online Article Text |
id | pubmed-6050053 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-60500532018-07-25 Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation Mills, Jody-Anne Gosney, James Stephenson, Fiona Skelton, Peter Norton, Ian Scherrer, Valerie Jacquemin, Geraldine Rau, Barbara PLoS Curr Discussion Emergency medical teams provide urgent medical and surgical care in emergencies characterized by a surge in trauma or disease. Rehabilitation has historically not been included in the acute phase of care, as teams have either not perceived it as their responsibility or have relied on external providers, including local services and international organizations, to provide services. Low- and middle-income countries, which often have limited rehabilitation capacity within their health system, are particularly vulnerable to disaster and are usually ill-equipped to address the increased burden of rehabilitation needs that arise. The resulting unmet needs for rehabilitation culminate in unnecessary complications for patients, delayed recovery, reduced functional outcomes, and often impede return to daily activities and life roles. Recognizing the systemic neglect of rehabilitation in global emergency medical response, the World Health Organization, in collaboration with key operational partners and experts, developed technical standards and recommendations for rehabilitation which are integrated into the WHO verification process for EMTs. This protocol report presents: 1) the rationale for the development of the standards and accompanying recommendations; 2) the methodology of the development process; 3) the minimum standards and other significant content included in the document; 4) challenges encountered during development and implementation; and 5) current and next steps to continue strengthening the inclusion of rehabilitation in emergency medical response. Public Library of Science 2018-07-09 /pmc/articles/PMC6050053/ /pubmed/30050723 http://dx.doi.org/10.1371/currents.dis.76fd9ebfd8689469452cc8c0c0d7cdce Text en © 2018 Mills, Gosney, Stephenson, Skelton, Norton, Scherrer, Jacquemin, Rau, et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Discussion Mills, Jody-Anne Gosney, James Stephenson, Fiona Skelton, Peter Norton, Ian Scherrer, Valerie Jacquemin, Geraldine Rau, Barbara Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation |
title | Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation |
title_full | Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation |
title_fullStr | Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation |
title_full_unstemmed | Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation |
title_short | Development and Implementation of the World Health Organization Emergency Medical Teams: Minimum Technical Standards and Recommendations for Rehabilitation |
title_sort | development and implementation of the world health organization emergency medical teams: minimum technical standards and recommendations for rehabilitation |
topic | Discussion |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050053/ https://www.ncbi.nlm.nih.gov/pubmed/30050723 http://dx.doi.org/10.1371/currents.dis.76fd9ebfd8689469452cc8c0c0d7cdce |
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