دورية أكاديمية
[Emergency ambulance call-outs often provide primary care].
| العنوان: | [Emergency ambulance call-outs often provide primary care]. |
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| عنوان ترانسليتريتد: | Spoedritten ambulance vaak eerstelijnszorg. |
| المؤلفون: | Smits M; Radboudumc, afd. Scientific Institute for Quality of Healthcare (IQ healthcare), Nijmegen., Francissen O, Weerts M, Janssen K, van Grunsven P, Giesen P |
| المصدر: | Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2014; Vol. 158, pp. A7863. |
| نوع المنشور: | Journal Article |
| اللغة: | Dutch; Flemish |
| بيانات الدورية: | Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Print Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017?-: Amsterdam : Vereniging NTvG Original Publication: Houten : Bohn Stafleu van Loghum |
| مواضيع طبية MeSH: | Ambulances/*statistics & numerical data , Emergency Medical Services/*methods, Adult ; Cross-Sectional Studies ; Emergencies ; Emergency Medical Services/statistics & numerical data ; Female ; Humans ; Male ; Middle Aged ; Netherlands ; Primary Health Care ; Retrospective Studies |
| مستخلص: | Objective: To examine patient and care characteristics of emergency ambulance call-outs and to determine how many of them were, in retrospect, effectively providing primary care. Design: Retrospective cross-sectional study. Method: We charted patient and care characteristics of 598 emergency ambulance call-outs in the Zuid-Gelderland region in the east of the Netherlands by applying a retrospective dossier analysis method. Three reviewers independently retrospectively determined what the required care was: primary or secondary care. This judgment was compared with the actual care given to the patient: treatment-on-the-spot or transfer to hospital. Results: A1 care was provided in 74.1% and A2 care in 25.9% of the ambulance call-outs. Mean patient age was 49.2 years and 53.3% of the patients were male. The probability diagnoses 'becoming unwell' (11.5%) and 'trauma to extremity' (11.2%) were the most common. In retrospect, the patient could have been treated in primary care, or self-treated, in 42.3% of the ambulance call-outs. The percentage of primary care was higher during office hours than out of hours (49 vs 39). In 91.7% of cases the required care as determined by the reviewers was the same as the actual follow-up care given to the patient by paramedics. Conclusion: Almost half of emergency ambulance call-outs effectively provide primary care. This finding reinforces the need for research into cooperation between ambulance services, primary care practices and out-of-hours primary care cooperatives. |
| تواريخ الأحداث: | Date Created: 20141016 Date Completed: 20150427 Latest Revision: 20181202 |
| رمز التحديث: | 20231215 |
| PMID: | 25315331 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1876-8784 |
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