The Search Of Pre-hospital Emergency In Shanghai

According to the scientific development concept of China,the employment and the education is basic,the medical the need,social insurance is the key,the real estate is the safe,and the security is the protect of the people's livelihood.Pre-hospital emergency means the doctor to conduct salvage,take care and transfer the patient from the place to hospital.Pre-hospital emergency take the responsible of people's daily salvage,public emergency salvage,and protect people's healthy during the public affairs.It is related to people's livelihood and the safe of the city.It is one of the city medical system and public security system's key element.And it is also the first step of emergency medical system.The government of shanghai also pay high attention on this issue,it also published <The instruction to deeper the pre-hospital emergency system reform and development> in Feb2016.My article was written base on the reading of research and understand the basic concept to make a deeper research for the pre-hospital emergency system of shanghai.During the preparation,I visited the center of hospital emergency of shanghai to have the first-hand information,and then conduct the data consolidation and analysis.At the same time,Icompare the current pre-hospital emergency system of shanghai with the advanced method over the world,and take the best solution to make a conclusion that the best way to fit for Shanghai.This article conduct analysis of the pre-hospital emergency system by divided into three parts and ten models.It include the progress before the ambulance move,the ambulance move to the place of patient and the place of patient to the hospital.The main elements include the channel of the emergency,stop setting,the equipment of ambulance,the doctor,the coordination interaction mechanism,the protection of the roadside,the communication between doctor and patient,hierarchical medical system and handover with the hospital.The article through the comparison with the nationwide and worldwide model to conclude the aspect which need improvement as follows.For the Charter arrangement,the Chapter One it provide the basic introduction theory for the pre-hospital emergency system.It makes the article easy to understand.The Chapter Two make comparison for the local and international research status.Through the comparison,the article try to find out the most suitable model for pre-hospital emergency system of shanghai.The Chapter Three is the key part of the article,it tell the current status of pre-hospital emergency system of shanghai.The article defined the three stop for the emergency method,which include before the ambulance start,till patient's address and the hospital.The article based on these three stop to make detail analysis and to make the conclusion.The article think,the current pre-hospital emergency system lack of the management from entirety level which include lack of the coordination interaction mechanism,hierarchical medical system,non-emergency business occupied the resource of emergency business,and has not implement source allocation for comprehensive arrangement of city anddistrict area.And the current pre-hospital emergency system also lack of talent mechanism,technology and law construction.At the end of the article,the process table showing the suggestion and countermeasure for the pre-hospital emergency system of shanghai in details.The main contribution for this article is to provide analysis for the weakness for pre-hospital emergency System in Shanghai,and gives suggestion.The article use the process table to show the opinion,which make the article is easy to understand and practice.