A Study on the Role of Public Health in Reducing the Abuse of Ambulance Services
DOI:
https://doi.org/10.17140/PHOJ-6-158Keywords:
Public health; Ambulance services; Emergency medical services (EMS); Emergency care pathway; Misuse of ambulance services; Paramedic; Scope of public health in EMS.Abstract
BackgroundDemand for emergency medical services or ambulance response is situated within the context of other healthcare and social welfare services. Worldwide ambulance providers have a wide variety of services available, but many services are struggling to meet service demand. Inappropriate use of ambulance services is one of the biggest concerns globally. The burden of using the ambulance services includes transporting non-critical patients to the hospital. Misuse of the ambulance services is a serious problem that must be addressed and solved.ObjectiveThe purpose of this study is to evaluate the public perception of appropriate usage of ambulance services and determine the applicable role of public health to reduce the inappropriate use of an ambulance.MethodologyA cross-sectional study was conducted to collect data from the general public using an online survey. The survey contains 9 questions that evaluate the public awareness of appropriate ambulance use. Participants are people from the public within the age of 18 and above.Sample SizeA total of N=97 of participants’ responses were used to analyze the data. Inclusion CriteriaComplete surveys and answer data using the English language. Exclusion CriteriaUncompleted surveys, and answered with other languages.ResultsDuring the online survey, a total of n=97 participants enrolled voluntarily. The majority of the residents are aware of when to and whom to call in case of a medical emergency. N=35 (36%) of the participants believe that ambulance services are misused. ConclusionThe conducted study demonstrated that almost 36% of participants believed abuse of ambulance services, though there might be numerous reasons for calling ambulance unnecessary. Public health plays a vital role to reduce inappropriate ambulance calls when both ambulance services and public health are integrated into one system of care.
References
Centers for Disease Control and Prevention (CDC). CDC - Pub-lic Health System and the 10 Essential Public Health Services -OSTLTS. 2019. Web site. https://www.cdc.gov/publichealthgate-way/publichealthservices/essentialhealthservices.html. Accessed June 12, 2019.
World Health Organization (WHO). WHO Emergency care sys-tem framework. Web site. https://www.who.int/publications/i/ item/who-emergency-care-system-framework. Accessed May 28, 2021.
Lowthian JA, Cameron PA, Stoelwinder JU, et al. Increasing uti-lization of emergency ambulances. Aust Health Rev. 2011; 35(1): 63-69. doi: 10.1071/AH09866
Sultan M, Abebe Y, Tsadik AW, Jennings CA, Mould-Millman N-K. Epidemiology of ambulance utilized patients in Addis Aba-ba, Ethiopia. BMC Health Serv Res. 2018; 18(1): 997. doi: 10.1186/ s12913-018-3820-4 Original Research | Volume 6 | Number 2 | Tanveer YAMDI
Phung V-H, Trueman I, Togher F, Ørner R, Siriwardena AN. Per-ceptions and experiences of community first responders on their role and relationships: qualitative interview study. Scand J Trauma Resusc Emerg Med. 2018; 26(1): 13. doi: 10.1186/s13049-018-0482-5
Phung V-H, Trueman I, Togher F, Orner R, Siriwardena AN. Community first responders and responder schemes in the United Kingdom: systematic scoping review. Scand J Trauma Resusc Emerg Med. 2017; 25(1): 58. doi: 10.1186/s13049-017-0403-z
Victor CR, Peacock JL, Chazot C, Walsh S, Holmes D. Who calls 999 and why? A survey of the emergency workload of the London Ambulance Service. J Accid Emerg Med. 1999; 16(3): 174-178. doi: 10.1136/emj.16.3.174
Gray JT, Wardrope J. Introduction of non-transport guidelines into an ambulance service: A retrospective review. Emerg Med J. 2007; 24(10): 727-729. doi: 10.1136/emj.2007.048850
Stirling CM, O’Meara P, Pedler D, Tourle V, Walker J. Engag-ing rural communities in health care through a paramedic expand-ed scope of practice. Rural Remote Health. 2007; 7(4): 839. doi:
22605/RRH839 10. Toloo GS, Gerald GJF, Aitken PJ, et al. Ambulance use is asso-ciated with higher self-rated illness seriousness: user attitudes and perceptions. Acad Emerg Med. 2013; 20(6): 576-583. doi: 10.1111/ acem.12149
Roberts A, Nimegeer A, Farmer J, Heaney DJ. The experience of community first responders in co-producing rural health care: in the liminal gap between citizen and professional. BMC Health Serv Res. 2014; 14: 460. doi: 10.1186/1472-6963-14-460
Palazzo FF, Warner OJ, Harron M, Sadana A. Misuse of the London ambulance service: How much and why? J Accid Emerg Med. 1998; 15(6): 368-370. doi: 10.1136/emj.15.6.368
Møller TP, Ersbøll AK, Tolstrup JS, et al. Why and when citi-zens call for emergency help: An observational study of 211,193 medical emergency calls. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine. 2015; 23. doi: 10.1186/s13049-015-0169-0
Booker M, Simmonds R, Purdy S. Patients who call emergen-cy ambulances for primary care problems: A qualitative study of the decision-making process. Emerg Med J. 2013; 31(6): 1-5.
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