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[Changes and developments in emergency medical services: key challenges for rescue management].
Daniel Lauer1, Stephan Bandlow1, Maik Rathje1
1Fakultät Humanwissenschaften, MSH Medical School Hamburg, Am Kaiserkai 1, 20457, Hamburg, Deutschland.
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
|September 16, 2022
Summary
Emergency medical services (EMS) in Germany face rising call volumes and increasing demands. Reforms are needed to address challenges in human resources, technical requirements, and organizational structures for better pre-hospital rescue management.
Area of Science:
- Emergency Medicine
- Healthcare Management
- Public Health Policy
Background:
- Emergency medical services (EMS) in Germany are experiencing a significant rise in call volumes.
- This increase necessitates greater ambulance provision while facing human resource challenges and escalating technical/medical demands.
- There is a growing consensus for fundamental reform in pre-hospital emergency care.
Purpose of the Study:
- To provide an overview of current developments, trends, and future challenges in German EMS.
- To outline the requirements for present and prospective rescue management.
- To identify key areas for action within the EMS sector.
Main Methods:
- A non-systematic literature search was conducted to identify relevant topics and areas of action.
- Iterative synthesis of requirements for rescue management was performed.
- Analysis focused on challenges and reform needs in German EMS.
Main Results:
- EMS in Germany face complex and diverse challenges, impacting management demands.
- The fragmented and small-scale organizational structure hinders reform processes.
- A lack of scientific competencies within EMS complicates optimization efforts.
Conclusions:
- Increasing academization and research in EMS are crucial for progress.
- Addressing the heterogeneous organizational structure is vital for effective reform.
- Strengthening scientific competencies is essential for optimizing pre-hospital rescue management.
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