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Patient Perspectives on EMS Alternate Destination Models
Prehospital Emergency Care
|May 28, 2016
Summary
Patients generally support patient-centered prehospital care innovations, including alternative destinations and better access to health records. Agreement levels were consistent across diverse patient groups, with race showing minor associations.
Area of Science:
- Emergency Medicine
- Health Services Research
Background:
- Many emergency department (ED) transports could be managed in alternative settings.
- There is a growing need for patient-centered prehospital care models.
Purpose of the Study:
- To assess patient attitudes towards innovative Emergency Medical Services (EMS) care delivery.
- To determine factors influencing agreement with patient-centered EMS innovations.
Main Methods:
- Cross-sectional survey of 621 patients and caregivers in an urban academic ED.
- Assessed agreement with 13 statements on EMS innovations (e.g., record access, shared decision-making, alternative destinations).
- Analyzed demographic, socioeconomic, acuity, and EMS utilization data.
Main Results:
- High agreement (48.2%–93.8%) with most EMS innovations, including record access (86%) and alternative transport (58% for low acuity).
- No significant association between agreement and patient acuity or EMS utilization history.
- Black or Hispanic race showed isolated associations with lower agreement for some innovations.
Conclusions:
- Patients are receptive to a more patient-centered prehospital care system with diverse treatment and transport options.
- Agreement with EMS innovations is generally consistent across diverse patient demographics.
- Further research may explore racial disparities in acceptance of innovative EMS models.
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