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消防電子報資料庫首頁 :: 消防英文
 
Community paramedics helpful in treating home-bound patients
-- 社區照護員有助於治療家庭患者
文/曾郁青

A community paramedicine program, integrated with an advanced illness management program, can be effective in treating frail, older adults in their homes.(社區醫療輔助計畫與進階疾病管理計劃相互結合,可以有效治療家中體弱的老人。)

Earlier this year, the Centers for Medicare and Medicaid Services (CMS) announced a new voluntary alternative payment model called Emergency Triage, Treat and Transport or ET3. ET3 is a voluntary, five-year payment model that provides greater flexibility for EMS to address emergency health care needs of Medicare beneficiaries following a 911 call. Under this model, CMS will pay participating Emergency Medical Services (EMS) providers to either:(年初時,醫療保險和醫療補助服務中心(CMS)宣布了一種新的自費模式,稱為緊急檢傷分類,治療和運輸或ET3。ET3是一種五年自費模式,為EMS(緊急醫療制度)提供了更大的靈活性,以滿足呼叫911救護車後醫療保險受益人的緊急醫療保健需求。在此模式下,醫療保險和醫療補助服務中心(CMS)將向參與的緊急醫療服務(EMS)提供商支付以下費用:)

Transport an individual to a hospital.(將個案送往醫院。)

Transport to a primary doctor's office or clinic.(將個案送到主治醫生的診療室或診所。)

Or, provide treatment by a qualified health practitioner at home or connected using telehealth.(或者由家中合格的家庭醫師提供治療或使用遠端醫療聯繫。)

The ET3 model gives communities the potential to reduce costs from avoidable emergency room transports and to better meet the patient’s needs.(ET3模式使社區可有效避免載送病患至急診室來降低成本,並且更可以滿足患者的需求。)

Researchers in New York recently published a study on the potential for EMS to expand a community paramedicine (CP) program to treat very sick and high acuity patients in an extended primary care role.(紐約研究人員最近發表了一篇關於EMS(緊急醫療服務)拓展社區醫療輔助計畫(CP)的潛力研究,該計劃旨在治療病情嚴重和高度敏感的患者。)

Northwell Health, an integrated delivery system in downstate New York, operates an EMS agency as well as an advanced illness management (AIM) program in Queens, Nassau and Suffolk counties.(Northwell Health是紐約州北部的一個運輸整合系統,在Queens, Nassau and Suffolk地區經營EMS機構(緊急醫療服務機構)和進階疾病管理(AIM)計劃。)

The system's EMS agency provides CP within the system’s AIM program as well as 911 services to the wider population.(該系統的EMS機構(緊急醫療服務機構)在系統的進階疾病管理(AIM)計劃中提供社區醫療輔助計畫(CP),並為更廣泛的人群提供911服務。)







註:本文相關內容來自https://www.usfa.fema.gov(本專欄內容可能與我國消防現況有所出入,僅供學習消防英文參考使用。)


(108年8月23日 )
 
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