Patient andPhysician Perspectives on Ambulance Utilization

Abstract

Ambulance users were more likely to be more sick as determined by commonly used measures than nonusers. ED physicians almost always agreed with nonuse of ambulance transport and two-thirds of the time agreed that a patient's decision to use ambulance transport was appropriate.

EMS Provider Determinations of Necessity for Transport and Reimbursement for EMS Response, Medical Care, and Transport: Combined Resource Document for the National Association of EMS Physicians Position Statements

“…21,23 Also, patients may not have any other means of transport, 2,24 which might partially account for the higher rates of ambulance use among the elderly. [24][25][26] Finally, ambulances are often summoned by someone other than the patient, including family members, passers-by, and even medical professionals. 2,10,27 In all of these circumstances, the decision to request ambulance transport is arguably appropriate.…”

Old age and chronic disease

“…Reasons leading to an EMS call are widespread, from obviously perilous situations to simply misjudged harmless situations considered life-threatening [13]. Moreover, the EMS system could be misused by individuals lacking alternatives for help or by those simply seeking transportation to a hospital [14]. In addition, the actual aims and existing limitations of EMS systems are not completely understood by callers (e.g.…”

The ambulance services in northern Norway 2004–2008: improved competence, more tasks, better logistics and increased costs

“…This indicates a rising need for ambulance services as the elderly are more often transported by ambulance [7]. Kawakami and co-workers [8] reported that elderly, male, low household income and no possession of a car were all factors causing an increase in the use of ambulances in non-emergency situations.…”

“…Beillon and co-workers [9] have documented variations between less and more densely populated Swedish areas with the former having a more appropriate use. Jacob and colleagues [7] asked whether the treating physician agreed with the patient’s decision on transport method. There was agreement in 68% of ambulance transports and 92% of non-ambulance transports.…”