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[Emergency ambulance call-outs often provide primary care].
Marleen Smits1, Oscar Francissen, Marleen Weerts
1Radboudumc, afd. Scientific Institute for Quality of Healthcare (IQ healthcare), Nijmegen.
Nederlands Tijdschrift Voor Geneeskunde
|October 16, 2014
Summary
Nearly half of emergency ambulance call-outs provide primary care. This highlights the need for better collaboration between ambulance services and primary care providers.
Area of Science:
- Emergency medical services
- Primary healthcare research
Background:
- Emergency ambulance services handle a significant volume of calls.
- Determining the appropriate level of care (primary vs. secondary) is crucial for efficient healthcare resource allocation.
Purpose of the Study:
- To analyze patient and care characteristics of emergency ambulance call-outs.
- To ascertain the proportion of these call-outs that retrospectively represent primary care needs.
Main Methods:
- Retrospective cross-sectional study of 598 emergency ambulance call-outs in the Zuid-Gelderland region.
- Dossier analysis to chart patient and care characteristics.
- Independent review by three experts to determine required care (primary vs. secondary) and compare with actual care provided (treatment-on-the-spot or hospital transfer).
Main Results:
- A1 and A2 care constituted 74.1% and 25.9% of call-outs, respectively.
- The most common diagnoses were 'becoming unwell' (11.5%) and 'trauma to extremity' (11.2%).
- In 42.3% of cases, patients could have been treated in primary care or self-managed; this percentage was higher during office hours (49%) than out-of-hours (39%).
Conclusions:
- A significant proportion of emergency ambulance call-outs are for primary care needs.
- Findings underscore the necessity for enhanced research into integrated care models involving ambulance services, primary care practices, and out-of-hours cooperatives.
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