ArticleThe Lancet regional health. Western Pacific2020
Emergency care status, priorities and standards for the Pacific region: A multiphase survey and consensus process across 17 different Pacific Island Countries and Territories.
Article in The Lancet regional health. Western Pacific, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prehospital Emergency Care in Low- and Middle-Income Countries: A Systematic Review.Prehospital and disaster medicine · 2023Pooled it
- Article
- Using a Partnership-Based Approach to Strengthen Acute Care Systems in the Pacific and Timor-Leste.Emergency medicine Australasia : EMA · 2025Article
- Community boat service to promote institutional delivery in the Philippines: a mixed-methods study of a social innovation.BMJ public health · 2024Article
- Triage implementation in resource-limited emergency departments: sharing tools and experience from the Pacific region.International journal of emergency medicine · 2024Article
- Redesigning Prehospital Care: Fiji's Response to the COVID-19 Pandemic.Prehospital and disaster medicine · 2024Article
- Consensus-based recommendations for strengthening emergency care at primary health care level: a Delphi study.Global health action · 2023Article
- Lessons from the frontline: The value of emergency care processes and data to pandemic responses across the Pacific region.The Lancet regional health. Western Pacific · 2022Article
- Supporting each other: Pacific emergency care clinicians navigate COVID-19 pandemic challenges through collaboration.The Lancet regional health. Western Pacific · 2022Article
- Lessons from the frontline: The COVID-19 pandemic emergency care experience from a human resource perspective in the Pacific region.The Lancet regional health. Western Pacific · 2022Article
- Lessons from the frontline: Leadership and governance experiences in the COVID-19 pandemic response across the Pacific region.The Lancet regional health. Western Pacific · 2022Article
- Lessons from the frontline: Documenting the experiences of Pacific emergency care clinicians responding to the COVID-19 pandemic.The Lancet regional health. Western Pacific · 2022Review
- Lessons from the frontline: Documenting the pandemic emergency care experience from the Pacific region - Infrastructure and equipment.The Lancet regional health. Western Pacific · 2022Article
- "When all else fails you have to come to the emergency department": Overarching lessons about emergency care resilience from frontline clinicians in Pacific Island countries and territories during the COVID-19 pandemic.The Lancet regional health. Western Pacific · 2022Review
- Validation of the Interagency Integrated Triage Tool in a resource-limited, urban emergency department in Papua New Guinea: a pilot study.The Lancet regional health. Western Pacific · 2021Article
- Rising to the challenge: The emergency nursing response to COVID-19 in the Pacific.Australasian emergency care · 2021Article
- Implementation of a novel three-tier triage tool in Papua New Guinea: A model for resource-limited emergency departments.The Lancet regional health. Western Pacific · 2020Review
- The underpinning of emergency care development is education.The Lancet regional health. Western Pacific · 2020Article
- A 'new normal': Harnessing the experience of COVID-19 for sustained improvements in global emergency care.The Lancet regional health. Western Pacific · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective emergency care (EC) reduces mortality, aids disaster and outbreak response, and is necessary for universal health coverage. Surge events frequently challenge Pacific Island Countries and Territories (PICTs), where robust routine EC is required for resilient health systems. We aimed to describe the current status, determine priority actions and set minimum standards for EC systems development across the Pacific region.
methodsWe used a prospective, multiphase, expert consensus process to collect data from PICT EC stakeholders using focus groups, electronic surveys and panel review between August 2018 and April 2019. Data were analysed using descriptive statistics, consensus agreement and graphic interpretation. We structured the research according to the World Health Organisation EC Systems and building block framework adapted for the Pacific context.
findingsOver 200 participants from 17 PICTs engaged in at least one component of the multiphase process. Gaps in functional capacity exist in most PICTs for both facility-based and pre-hospital care. EC is a low priority across the Pacific and integrated poorly with disaster plans. Participants emphasised human resource support and government recognition of EC as priority actions, and generated 24 facility-based and 22 pre-hospital Pacific EC standards across all building blocks.
interpretationPICT stakeholders now have baseline indicators and a comprehensive roadmap for EC development within a globally recognised health systems framework. This study generates practical, context-appropriate tools to trigger further research, conduct evidence-based advocacy, drive future improvements and measure progress towards achieving universal health access for Pacific peoples.
fundingSecretariat of the Pacific Community (partial).
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