As someone who is dedicated to the delivery of high-quality, 十大网赌平台推荐健康中心的DHMC和APD提供安全有效的急救药物, 在我们努力解决这场日益严重的公共卫生危机时，对病人保持透明是很重要的.
Jennifer V. Pope, MDAn opinion piece by Jennifer V. Pope, MD
Dartmouth Health Vice Chair of Operations, Department of Emergency Medicine, Medical Director, Emergency Department, 十大网赌平台推荐希区柯克医疗中心和爱丽丝派克纪念日纪念医院, Assistant Professor of Emergency Medicine, Dartmouth’s Geisel School of Medicine
When it comes to healthcare, nobody likes to wait. 根据定义，紧急情况是严重的，通常是需要立即采取行动的危险情况. 对于我们这些在急诊科前线照顾病人的人, 不断升级的病人过度拥挤危机是一个巨大的挑战和令人沮丧的问题——对病人来说也是如此, it’s a hard pill to swallow.
However, the first step toward change is awareness. As someone who is dedicated to the delivery of high-quality, 十大网赌平台推荐健康的十大网赌平台推荐希区柯克医疗中心(DHMC)和爱丽丝派克纪念日纪念医院提供安全有效的急诊医疗, 在我们努力解决这场日益严重的公共卫生危机时，对病人保持透明是很重要的.
Even before the pandemic, 全国急诊科的长时间等待和病人拥挤是一个日益严重的问题, post-pandemic, 这种不断升级的危机导致了一种非常普遍的医疗现象，即登机. “寄宿”是一个行业术语，用于描述由于没有床位可供病人使用而导致病人从急诊科转移到适当的护理机构时出现计划外的延误. New Hampshire is not immune to this public health dilemma. In 2023, DHMC每年的急诊科数量是历史上最高的, and already, 2024 is pacing to top that. And, because DHMC is the largest hospital in New Hampshire, and the only academic medical center and Level 1 trauma center, 我们正在照顾数量空前、医疗需求非常复杂的病人.
对我们来说，重要的是我们的病人和家属知道，我们不会把这些急诊室的等待仅仅看作是不方便. We know how stressful waiting can be for patients and families. 急诊部门面临着前所未有的能力挑战, patient care must be triaged at equally unprecedented levels. 我们的护理合作伙伴非常努力地照顾有紧急需求的病人，比如中风和心脏病发作，同时也照顾有住院护理需求的病人. 这给提供紧急护理的各个方面带来了压力. And, this is not the way that we want to deliver care.
Although it’s a complex issue, at its most basic level, this universal healthcare dysfunction results from a lack of beds. Like so many other states, here in New Hampshire, 我们根本没有足够的选择来把现有的病人从他们占据的病床上转移到专业护理或其他长期护理机构，因为这些机构和我们一样面临着同样的劳动力挑战. 缺乏适当的出院选择导致急诊科积压，在那里发现入院的病人在走廊的担架上等待一个房间打开并不罕见. Sadly, the problem disproportionately impacts the elderly, those struggling with mental illness, and other at-risk populations. 这些人往往无法获得初级保健，甚至无法获得基本的交通工具. And, 因为急诊部门是24小时开放的，法律要求急诊部门治疗和/或稳定任何人, 这些人群往往依赖急诊科作为他们唯一的医疗干预来源, and ambulance transports as their only transportation option. Sadly, 他们可能没有家人或朋友来支持他们或帮助他们做出复杂的决定.
我进入急诊医学领域是因为我致力于为任何有需要的人提供高质量和高效的护理. Almost 20 years into my career, that passion has not faded. 我们的应急小组不仅是各自领域的专家，也是你们社区的成员. We are your neighbors. We care deeply about you and your health needs. 我们比以往任何时候都更加努力地对每一个走进我们家门的人进行分类和治疗. 疫情期间，你们将自己的生命和亲人托付给我们. 我们请求你们再次信任我们，因为我们正在应对这些前所未有的能力挑战. By making you aware of this complicated, nuanced issue, 我们希望双方的理解能够培养我们对所有患者坚定不移的承诺的持续信心. And we ask for your understanding and patience. 医疗保健系统的工作人员正在努力解决这些能力问题. We are determined.
About Dartmouth Health
Dartmouth Health, 新罕布什尔州唯一的学术医疗系统和该州最大的私人雇主, serves patients across northern New England. Dartmouth Health provides access to more than 2,000 providers in almost every area of medicine, delivering care at its flagship hospital, Dartmouth Hitchcock Medical Center (DHMC) in Lebanon, NH, as well as across its wide network of hospitals, clinics and care facilities. DHMC is consistently named the #1 hospital in New Hampshire by U.S. News & World Report在许多临床专业和程序中表现优异. Dartmouth Health includes Dartmouth Cancer Center, 是全国仅有的56个国家癌症研究所指定的综合癌症中心之一, and the only such center in northern New England; Dartmouth Health Children’s, 包括十大网赌平台推荐希区柯克医疗中心的儿童医院, the state’s only children’s hospital, and multiple clinic locations around the region; member hospitals in Lebanon, Keene and New London, NH, and Bennington and Windsor, VT; Visiting Nurse and Hospice for Vermont and New Hampshire; and more than 24 clinics that provide ambulatory services across New Hampshire and Vermont. Through its historical partnership with Dartmouth and the Geisel School of Medicine, 十大网赌平台推荐健康中心每年培训近400名住院医师和研究员, 并与Geisel和the medical进行全球公认的前沿研究和临床试验 White River Junction VA Medical Center in White River Junction, VT. Dartmouth Health and its more than 13,000名员工坚定地致力于服务于我们社区中每个人的医疗保健需求, and to providing each of our patients with exceptional, personal care.