[Emergency ambulance call-outs often provide primary care]
| العنوان: | [Emergency ambulance call-outs often provide primary care] |
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| المؤلفون: | Smits, M., Francissen, O., Weerts, M., Janssen, K., Grunsven, P. van, Giesen, P. |
| المصدر: | Nederlands Tijdschrift voor Geneeskunde, 158, A7863 Nederlands Tijdschrift voor Geneeskunde, 158, pp. A7863 |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] |
| الوصف: | Item does not contain fulltext 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. |
| تدمد: | 0028-2162 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::4deea04ab0860785e83a44ec1a291468 http://hdl.handle.net/2066/138752 |
| حقوق: | RESTRICTED |
| رقم الأكسشن: | edsair.dedup.wf.001..4deea04ab0860785e83a44ec1a291468 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00282162 |
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