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ロンドンの救急医療システムとその運用状況：トリアージと各職種への分業・分担による救急運用(報告)

大谷, 圭 光永, 敏哉 大瀧, 佑平 高木, 健 佐々江, 隆一郎 卯津羅, 雅彦 武田, 聡 小川, 武希 東京慈恵会医科大学

2021.03.15

概要

Through my experience as a physician in a Japanese clinic in London from 2015 to 2017, I noticed that noncritical patients had a hard time visiting and being treated at the Accident and Emergency department (A & E) of hospitals. We had seen some patients from our clinic being hospitalized to an A & E, but in many cases, they were diagnosed without an indication for hospitalization. Even more, the treatment for several patients who had requested an ambulance from their homes was delayed frequently. To fully understand the emergency medical system in the United Kingdom (UK), I have reviewed online documents and websites of it. The system in the UK is based on a stringent triage; therefore, the treatment of severe and critical life- threatening illnesses is given priority, whereas the treatment of minor noncritical illnesses is considered the responsibility of the individual patients. I believe this system works as a safety net in providing minimal and only necessary emergency healthcare. We could consider introducing this method in advancing the efficiency of Japanese ERs by prioritizing the treatment of severe and critical cases as in the UK.

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