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- W2068582079 abstract "To obtain social and cultural data about factors affecting the development of Emergency Medical Services for Children (EMS-C) in La Paz, Bolivia. The points-of-view of potential consumers and providers were sought.A Rapid Assessment Procedure (RAP) was conducted. RAP is a qualitative ethnographic technique that permits delineation of social, cultural, and behavioral themes about a population based on members' lived experience. In-depth interviews and participant-observation provide rapid information and enhance the likelihood of successful implementation of interventions and services before major investments in infrastructure.Information collected from providers, administrators, and consumers revealed 4 themes affecting EMS-C: (1) Nature of injuries and illnesses in the Emergency Department-root causes were held to be related to the physical and emotional effects of poverty; (2) Inappropriate use-health care providers and consumers differed in their identification of valid reasons for utilizing EMS-C; (3) Coordination, organization, and standardization of care-both groups keenly felt their absence; and (4) Training and specialization-particularly the provider respondents felt that EMS-C would require radical changes in the training system. An expected theme, Prevention and Advocacy, did not emerge; respondents did not appear to feel that health care providers had any role in affecting public policy.RAP methodology provided a detailed picture of current EMS-C in La Paz, including viewpoints from all major stakeholders. This information will be used to support the development of Emergency Medicine programs that are locally driven, culturally appropriate, and socially feasible." @default.
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- W2068582079 date "2004-10-01" @default.
- W2068582079 modified "2023-10-11" @default.
- W2068582079 title "Planning Emergency Medical Services for Children in Bolivia" @default.
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- W2068582079 doi "https://doi.org/10.1097/01.pec.0000142950.58265.15" @default.
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