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Transatlantic Takeaways: Addressing Overcrowding in American Emergency Departments Through a Polish Lens

Published online by Cambridge University Press:  02 January 2024

Krzysztof Goniewicz*
Affiliation:
Department of Security Studies, Polish Air Force University, Deblin, Poland
Frederick M. Burkle
Affiliation:
Global Fellow, Woodrow Wilson International Center for Scholars, Washington, DC, USA
*
Corresponding author: Krzysztof Goniewicz; Email: k.goniewicz@law.mil.pl.
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Abstract

Type
Letter to the Editor
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

In the convoluted tapestry of global health care, an unsettling narrative is alarmingly being woven. This narrative focuses a universal health-care crisis unfolding across 2 distinct nations: the United States and Poland. Despite stark differences in their health-care systems and patient demographics, these nations find themselves united, confronting a common crisis. Overcrowded emergency departments (EDs), prohibitively long waiting times, and a mounting toll on patient lives 1Reference Goniewicz, Burkle and Hertelendy3 are challenges common to both countries. This urgent crisis demands our unwavering attention and immediate, decisive action.

We stand on the precipice of a health-care emergency, facing fundamental questions that command our collective conscience: What are the systemic factors driving these troubling trends? How can immediate and sustainable strategies be implemented to combat these crises, while also ensuring their nonrecurrence? How do we navigate the grim reality of patients succumbing in ED waiting rooms due to extended delays in receiving critical medical treatment?

Our probe into this crisis starts in Poland. Here, the inadequate capacities of primary health-care facilities have forced many patients to resort to EDs for routine diagnostics and treatments. Reference Kludacz-Alessandri, Walczak and Hawrysz4 This decision, while seemingly essential at an individual level, burdens an already strained system. Simultaneously, the United States grapples with its unique health-care challenges. A relentless tide of coronavirus disease 2019 (COVID-19) cases, intensified by sub-optimal triage procedures and inefficient health-care protocols, has led to dire consequences, with patients tragically losing their lives as they await care. Reference Mekontso Dessap, Richard and Baker5

However, within the bleak contours of this escalating crisis, we discern an unexpected glimmer of opportunity—an opportunity for impactful reform. It is incumbent upon us to devise and execute strategic interventions addressing each country’s unique challenges. These strategies must be implemented with an urgency that echoes the critical nature of these circumstances.

In Poland, the solution may be rooted in strengthening the capacity and accessibility of primary healthcare services, refining triage protocols through focused personnel training, and implementing stringent quality control measures. Reference Burkle, Khorram-Manesh and Goniewicz6 By empowering EDs to accurately identify and redirect nonemergency cases to primary health-care facilities, we can alleviate the immediate crisis.

Contrastingly, the United States needs to deploy its resources to tackle the COVID-19 surge while refining its triage and health-care delivery processes. Innovative technology platforms, like telemedicine, could serve as valuable tools to manage non-emergency cases, eliminating the need for a physical ED visit. Reference Haimi7

However, this narrative transcends the boundaries of these 2 nations; it mirrors a global crisis calling for a globally coordinated response. The strategies proposed, while specifically tailored to the United States and Poland, offer flexibility to adapt to the diverse challenges faced by EDs worldwide. We must ask ourselves: Are we prepared to act decisively and swiftly to implement these strategies?

We underscore the necessity for immediate action and call for the global health-care community, policy-makers, and researchers to unify. We suggest establishing an international forum for the exchange of insights, experiences, and potential solutions Reference Khorram-Manesh, Goniewicz and Burkle8 . We advocate for a targeted research agenda committed to evaluating the effectiveness of these proposed strategies Reference Goniewicz, Khorram-Manesh and Burkle9,Reference Khorram-Manesh, Gray and Goniewicz10 . Furthermore, we emphasize the crucial need for a globally coordinated action plan to ensure the efficient and timely implementation of these solutions.

This ongoing narrative serves as a stark reminder of our interconnected global health-care systems and the pressing importance of collective action. Our collective will and decisive actions could spell the difference between life and death for countless individuals worldwide.

This narrative of despair should be seen as a stepping-stone toward change and progress. We are challenged to rewrite this narrative as a story of transformation where the strength of a society is reflected not just in its economic prosperity but in the resilience of its health-care system. It is time for us to pen a new chapter in the history of health care—a chapter where robust, patient-centered, and responsive emergency health care is not an ideal, but a global reality.

The challenge is daunting, but our resolve must match the gravity of the situation. We must act with urgency and decisiveness, taking measures today, not tomorrow. The health and well-being of our global community rely on our collective willingness to act. The time for action is now, for every moment in the context of emergency health care is a heartbeat—a heartbeat that cannot afford to be lost. Let us harness the wisdom in this crisis and transform it into an impetus for globally coordinated action. The potential for a more resilient, efficient, and patient-centered global emergency health-care system lies in our hands, and its realization hinges on our immediate and decisive action.

References

MEDPAGETODAY. Patients are dying in emergency department waiting rooms. Accessed December 11, 2023. https://www.medpagetoday.com/opinion/second-opinions/103166 Google Scholar
ABC News. NSW records longest ambulance wait times since records were made publicly available. Accessed December 11, 2023. https://amp.abc.net.au/article/101152356 Google Scholar
Goniewicz, K, Burkle, FM, Hertelendy, AJ, et al. The impact of war on emergency departments visits by Ukrainian refugees in Poland. Am J Emerg Med. 2023;67:189-190.10.1016/j.ajem.2023.02.040CrossRefGoogle ScholarPubMed
Kludacz-Alessandri, M, Walczak, R, Hawrysz, L, et al. The quality of medical care in the conditions of the COVID-19 pandemic, with particular emphasis on the access to primary healthcare and the effectiveness of treatment in Poland. J Clin Med. 2021;10(16):3502.10.3390/jcm10163502CrossRefGoogle ScholarPubMed
Mekontso Dessap, A, Richard, JM, Baker, T, et al. Technical innovation in critical care in a world of constraints: lessons from the COVID-19 pandemic. Am J Respir Crit Care Med. 2023;207(9):1126-1133.10.1164/rccm.202211-2174CPCrossRefGoogle Scholar
Burkle, FM Jr, Khorram-Manesh, A, Goniewicz, K. COVID-19 and beyond: the pivotal role of health literacy in pandemic preparedness. Prehosp Disaster Med. 2023;38(3):285-286.10.1017/S1049023X23005824CrossRefGoogle ScholarPubMed
Haimi, M. The tragic paradoxical effect of telemedicine on healthcare disparities-a time for redemption: a narrative review. BMC Med Inform Decis Mak. 2023;23(1):95.10.1186/s12911-023-02194-4CrossRefGoogle ScholarPubMed
Khorram-Manesh, A, Goniewicz, K, Burkle, FM. Jr Unleashing the global potential of public health: a framework for future pandemic response. J Infect Public Health. 2023;17(1):82-95..10.1016/j.jiph.2023.10.038CrossRefGoogle Scholar
Goniewicz, K, Khorram-Manesh, A, Burkle, FM, et al. The European Union’s post-pandemic strategies for public health, economic recovery, and social resilience. Global Transit. 2023;5:201-9.10.1016/j.glt.2023.10.003CrossRefGoogle Scholar
Khorram-Manesh, A, Gray, L, Goniewicz, K, et al. Care in emergencies and disasters: Can it be person-centered? Patient Educ Couns. 2024;118:108046.10.1016/j.pec.2023.108046CrossRefGoogle ScholarPubMed