Abstract：
UNLABELLED:A medical partnership program between Boston University School of Medicine and the the Emergency Hospital, of Yerevan, Armenia, has been developed to improve the care of the injured in that city. The Emergency Hospital, a trauma center, was site-visited by experts from a Level I trauma center who evaluated prehospital and hospital-based emergency and trauma services and made system-wide recommendations. Recognizing local limitations, the hospital was found to have the leadership commitment, staff complement, and basic infrastructure to meet the American College of Surgeons' criteria for Level II trauma centers. The goal of integration of the academic, clinical, and research roles of a medical center consistent with Level I-type trauma centers was formulated. After 36 months, several issues raised in the assessment are being addressed notwithstanding political and economic turbulence. The Emergency Hospital has established an accredited residency program in emergency medicine; implemented programs for postgraduate medical education of its staff; begun to develop medical information systems; expanded the scope of its activities to other institutions; and restructured the emergency admissions area. Management systems remain largely undeveloped as the discipline lacks recognition as an analytic tool for institutional improvement. CONCLUSIONS:The use of existing published resources for assessment and improvement of health services in dissimilar health-care systems has been validated as a systematic approach. For system advances to be well-founded, a combination of education, management, and clinical approaches needs to be addressed. Of these, our experience is that management issues are the most resistant to change.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Hirsch EF,Levy Kdoi
10.1007/BF02260892subject
Has Abstractpub_date
1996-04-01 00:00:00pages
77-84issue
2eissn
0148-5598issn
1573-689Xjournal_volume
20pub_type
杂志文章abstract：:Dalmatia (Southern Croatia) belongs to the Dinaric karst region. The permeability of karst soil allows a great quantity of dissolved organic and toxic matter rendering it hygienically unsafe. The hinterland of the Dinaric karst region is relatively scarcely populated since the largest agglomeration of population and i...
journal_title：Journal of medical systems
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更新日期：2005-12-01 00:00:00
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journal_title：Journal of medical systems
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更新日期：2019-12-11 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
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更新日期：2017-11-25 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章,多中心研究
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journal_title：Journal of medical systems
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journal_title：Journal of medical systems
pub_type： 杂志文章
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journal_title：Journal of medical systems
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更新日期：2010-08-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9766-2
更新日期：2012-10-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0767-7
更新日期：2017-08-01 00:00:00
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journal_title：Journal of medical systems
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doi：10.1007/s10916-005-3002-x
更新日期：2005-04-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
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更新日期：2002-02-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-016-0461-1
更新日期：2016-04-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00996951
更新日期：1993-08-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00996195
更新日期：1985-06-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00992703
更新日期：1991-04-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-010-9495-y
更新日期：2012-04-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-005-6101-9
更新日期：2005-10-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-018-1026-2
更新日期：2018-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s10916-015-0416-y
更新日期：2016-03-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-011-9799-6
更新日期：2012-12-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-020-01621-7
更新日期：2020-09-15 00:00:00
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journal_title：Journal of medical systems
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journal_title：Journal of medical systems
pub_type： 杂志文章
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更新日期：1991-08-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
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更新日期：2019-03-13 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/BF00993881
更新日期：1991-02-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-014-0136-8
更新日期：2014-12-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-017-0719-2
更新日期：2017-04-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
doi：10.1007/s10916-014-0028-y
更新日期：2014-08-01 00:00:00
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journal_title：Journal of medical systems
pub_type： 杂志文章
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更新日期：2012-11-01 00:00:00
