How is Ambulance Patient Care and Response Time Data Collected and Reported in Malaysia and Indonesia?

Hooper, Craig; Ranse, Jamie; Hutton, Alison

doi:10.33151/ajp.16.683

Cited by 4 publications

(5 citation statements)

References 26 publications

(39 reference statements)

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“…Despite recent developments, service standardization is still not ideal, and there is no coherence in information exchange. [ 33 ] In recent years, public demands have been formed for providing better and more specialized services for emergencies. [ 34 ] In this regard, rapid treatment of stroke patients under the name of Regional Emergency Stroke Quick-response (RESQ) has started.…”

Section: Resultsmentioning

confidence: 99%

A comparative study on specialized services in pre-hospital emergencies in Iran and selected countries

Babaei,

Ferdosi,

Masoumi

et al. 2023

Journal of Education and Health Promotion

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The quality of emergency services is one of the indicators describing the health status of countries. Moreover, the specialization of services and targeted response to any accident or disease has been the priority of pre-hospital emergency operations in some leading countries. This study aimed to compare the special services provided in the emergency department of several selected countries. This was a comparative study that was done in Isfahan in 2022. Data were collected by reviewing the literature provided by libraries and emergency websites of selected countries. We selected countries based on the accessibility of information in two groups of developed countries and countries with the same income and population as Iran including Germany, France, The United States, Australia, Britain, Malaysia, and Turkey. Data were classified and compared based on staff, vehicles, and specialized services. Emergency staffs in most countries were of different skill and training levels. Ambulances varied in equipment types in various land, air, and sea forms and dimensions. Developed countries had more modern ambulances and equipment. France and Germany were operating more especially. Specialized teams are dispatched only in the United States and Germany. Existing studies have shown the adequacy and effectiveness of these teams in reducing complications and mortality and improving the prognosis of patients. The use of specialized teams appropriate to each emergency based on the specific and targeted response is effective in improving the prognosis of patients. The results of this study are suggested to beneficiaries to improve the quality of emergency care and reduce complications and potential causalities.

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Section: Resultsmentioning

confidence: 99%

A comparative study on specialized services in pre-hospital emergencies in Iran and selected countries

Babaei,

Ferdosi,

Masoumi

et al. 2023

Journal of Education and Health Promotion

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“…Author details 1 Cardiff School of Mathematics, Cardiff University, Senghennydd Road, Cardiff CF24 4AG, UK. 2 Department of Industrial and Systems Engineering, University of Wisconsin -Madison, 1513 University Avenue, Madison, WI 53706, USA.…”

Section: Supplementary Informationmentioning

confidence: 99%

“…The provision of prehospital emergency services in low-and middle-income countries (LMICs) has been historically characterised by inadequate resourcing both financially and operationally (e.g., in terms of staff ) [1]. Other challenges associated with EMS in LMICs include decentralized services, fragmented data collection strategies, and high variability in the quality and consistency of collected data [2,3]. The combination of inadequate infrastructure and culture differences associated with healthcare-seeking behaviour, communication, and coordination represent significant barriers to EMS access in these countries [4].…”

Section: Introductionmentioning

confidence: 99%

Emergency services utilization in Jakarta (Indonesia): a cross-sectional study of patients attending hospital emergency departments

Brice

Boutilier

Gärtner

et al. 2022

BMC Health Serv Res

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Background Pre-hospital and emergency services in Indonesia are still developing. Despite recent improvements in the Indonesian healthcare system, issues with the provision of pre-hospital and emergency services persist. The demand for pre-hospital and emergency services has not been the subject of previous research and, therefore, has not been fully understood. Our research explored the utilization of emergency medical services by patients attending hospital emergency departments in Jakarta, Indonesia. Methods The study used a cross-sectional survey design involving five general hospitals (four government-funded and one private). Each patient’s demographic profile, medical conditions, time to treatment, and mode of transport to reach the hospital were analysed using descriptive statistics. Results A total of 1964 (62%) patients were surveyed. The median age of patients was 44 years with an interquartile range (IQR) of 26 to 58 years. Life-threatening conditions such as trauma and cardiovascular disease were found in 8.6 and 6.6% of patients, respectively. The majority of patients with trauma travelled to the hospital using a motorcycle or car (59.8%). An ambulance was used by only 9.3% of all patients and 38% of patients reported that they were not aware of the availability of ambulances. Ambulance response time was longer as compared to other modes of transportation (median: 24 minutes and IQR: 12 to 54 minutes). The longest time to treatment was experienced by patients with neurological disease, with a median time of 120 minutes (IQR: 78 to 270 minutes). Patients who used ambulances incurred higher costs as compared to those patients who did not use ambulances. Conclusion The low utilization of emergency ambulances in Jakarta could be contributed to patients’ lack of awareness of medical symptoms and the existence of ambulance services, and patients’ disinclination to use ambulances due to high costs and long response times. The emergency ambulance services can be improved by increasing population awareness on symptoms that warrant the use of ambulances and reducing the cost burden related to ambulance use.

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“…In some European countries, ambulance services or also known as emergency services require a physician or nurse specially trained in Advanced Life Support (ALS). On the contrary, the United States (US), the United Kingdom (UK), and Australia only require paramedics to operate the ambulance services and rarely involve physicians (6,7).…”

Section: Introductionmentioning

confidence: 99%

Data envelopment analysis for ambulance services of different service providers in urban and rural areas in Ministry of Health Malaysia

Hassan

Bahari

Aminuddin

et al. 2023

Front. Public Health

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IntroductionAmbulance services are pivotal in any country's healthcare system. An efficient ambulance service not only decreases patient mortality rate but also allows resource prioritization for better outputs. This study aims to measure the efficiency of ambulance services provided by health facilities in the Ministry of Health (MOH), Malaysia.MethodsThis cross-sectional study analyzed the efficiency of 76 Decision-Making Units (DMUs) or health facilities, consisting of 62 health clinics and 14 hospitals. Data Envelopment Analysis (DEA) was used for computing efficiency scores while adopting the Variable Return to Scale (VRS) approach. The analysis was based on input orientation. The input was the cost of ambulance services, while the output for this analysis was the distance coverage (in km), the number of patients transferred, and hours of usage (in hours). Subsequent analysis was conducted to test the Overall Technical Efficiency (OTE), the Pure Technical Efficiency (PTE), the Scale Efficiency (SE), and the Return to Scale with the type of health facilities and geographical areas using a Mann-Whitney U-test and a chi-square test.ResultsThe mean scores of OTE, PTE, and SE were 0.508 (±0.207), 0.721 (±0.185), and 0.700 (±0.200), respectively. Approximately, 14.47% of the total health facilities were PTE. The results showed a significant difference in OTE and SE between ambulance services in hospitals and health clinics (p < 0.05), but no significant difference in PTE between hospitals and clinics (p>0.05). There was no significant difference in efficiency scores between urban and rural health facilities in terms of ambulance services except for OTE (p < 0.05).DiscussionThe ambulance services provided in healthcare facilities in the MOH Malaysia operate at 72.1% PTE. The difference in OTE between hospitals and health clinics' ambulance services was mainly due to the operating size rather than PTE. This study will be beneficial in providing a guide to the policymakers in improving ambulance services through the readjustment of health resources and improvement in the outputs.

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How is Ambulance Patient Care and Response Time Data Collected and Reported in Malaysia and Indonesia?

Cited by 4 publications

References 26 publications

A comparative study on specialized services in pre-hospital emergencies in Iran and selected countries

A comparative study on specialized services in pre-hospital emergencies in Iran and selected countries

Emergency services utilization in Jakarta (Indonesia): a cross-sectional study of patients attending hospital emergency departments

Data envelopment analysis for ambulance services of different service providers in urban and rural areas in Ministry of Health Malaysia

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