id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
hls-10256	Svenson, Emma; Sheth, Amber ; Schmidt, Jessica; Tun, Rafael; Svenson, James E.	A retrospective analysis of emergency department usage in rural and semi-urban indigenous Guatemalan populations	2022	10	.pdf	application/pdf	8356	544	57	Emergency care also represents an entry point for access to additional special- ized care, providing crucial preventive health services at a population level.2–4 In nations where a significant portion of peo- ple are uninsured or underinsured, and lack access to primary care providers, emer- gency departments are even becoming point of care for non-urgent medical conditions.5,6 A lack of emergency care infrastructure is thus linked to poorer health outcomes, and ensuring access to emergency medical care is being prioritized as a mechanism to improve overall population health on a global scale.1,3,4,7 While emergency medical systems are often robust in high-income countries, sig- nificant obstacles exist to developing, deliv- ering and accessing emergency care in low- and middle-income countries.8,9 Lack of transportation to medical facilities, afford- ability of services, poor facility infrastruc- ture, decreased availability of medical sup- plies and medications, and a paucity of skilled emergency providers and emergency training programs are all frequently cited barriers to providing effective acute care in these settings.2,10–15 Yet Lower- and Middle- Income Countries (LMIC) frequently shoul- der a significant burden of critical acute ill- ness.13 For example, recent estimates sug- gest that ninety percent of trauma related deaths occur in LMIC.13,16 Identifying barriers for out of hospital emergency care in low and low-middle income countries: a sys- tematic review.	cache/hls-10256.pdf	txt/hls-10256.txt