Research on the construction strategy of China’s rural emergency linkage system from the perspective of systems theory—based on the survey of six regions in China

作者：X. Huang, Yuning Jiao, Zihao Deng, Tianyao Wang, Yu-Yao Hu, Yuting Liu, Wei Wang, Wei Nie · 发表于：Frontiers in Public Health · 年份：2025 · DOI：10.3389/fpubh.2025.1611273 · 被引用次数：1 · 研究领域：Trauma and Emergency Care Studies、Emergency and Acute Care Studies、Facility Location and Emergency Management

Purpose: This study aims to understand the major challenges facing China's rural pre-hospital emergency care in terms of coordination and cooperation. We focus particularly on the three-tier emergency care providers and their surrounding support units to explore the systematic and strategic gaps within the system. Based on these findings and general systems theory, we propose construction strategies for China's rural emergency linkage system. This research provides new approaches for improving China's overall rural emergency care capacity and offers reference points for rural emergency care development in other countries. Methods: We visited 6 rural areas across 5 provinces and municipalities in China (Beijing, Shandong, Jiangsu, Zhejiang, and Jiangxi). We conducted semi-structured interviews with 28 grassroots emergency care personnel, including villagers with emergency care experience, village doctors, village officials, and emergency center staff. Through these interviews, we conducted in-depth research on the challenges facing rural emergency care coordination and gathered specific recommendations for improvement. Results: In current rural pre-hospital emergency care practice in China, coordination between different units remains insufficient, and the overall system development is still incomplete. The three-tier emergency care providers lack adequate information sharing, clear division of emergency responsibilities, and personnel exchange. Additionally, social and enviro...